Blooming Family Dental Llc
General Practice
749 Bloomfield Ave Ste D, West Caldwell
New Jersey, 07006-6717
646-673-4496 Blooming Family Dental Llc is a General Practice in West Caldwell, New Jersey. It is located at 749 Bloomfield Ave Ste D, West Caldwell and it's customer support contact number is 646-673-4496. The authorized person of Blooming Family Dental Llc is Dr. Theodore K Chang, DDS who is Owner of this DME and his contact number is 646-673-4496. Active license number of Blooming Family Dental Llc is 22DI02565000 for General Practice in New Jersey. Blooming Family Dental Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Blooming Family Dental Llc is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
DME Supplier Details:
Blooming Family Dental Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Blooming Family Dental Llc |
| Type: | General Practice |
| Location: | 749 Bloomfield Ave Ste D, West Caldwell,
New Jersey, 07006-6717 |
| Phone: | 646-673-4496 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Theodore K Chang |
| Credentials: | DDS |
| Position: | Owner |
| Contact Number: | 646-673-4496 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1699261347 |
| NPI Enumeration Date: | 05 Jul, 2018 |
| NPI Last Update On: | 05 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blooming Family Dental Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 22DI02565000 | New Jersey | Primary | |
| Customized Equipment | | | Secondary | |
Medicare Enrollment:
Blooming Family Dental Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9739597329 | O20210420002259 | Blooming Family Dental Llc | DME SUPPLIER - ORAL SURGERY - DENTIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 749 Bloomfield Ave Ste D,
West Caldwell, New Jersey |
| Zip: | 07006-6717 |
| Phone Number: | 973-787-8437 |
Patients can reach Blooming Family Dental Llc at
749 Bloomfield Ave Ste D, West Caldwell, New Jersey or can
call on customer care at 646-673-4496.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.