Individual
DR. CASEY MCCARY BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
704 2ND AVE SW, CULLMAN, AL 35055-4221
(256) 739-5533
Mailing address
1305 EASTERWOOD BLVD, GARDENDALE, AL 35071
(205) 631-1752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5507
AL
Other
Enumeration date
01/16/2007
Last updated
07/09/2007
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