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Search › New Jersey › Oral and Maxillofacial Surgery (Dentist)

Theodore Niebloom, DMD

NPI 1689750705 · on the registry since 2006

Practice

Address
101 Old Short Hills Road
West Orange, NJ 07052
Phone
(973) 736-7616
Fax
(973) 325-3487
Organisation at this address
Surg-Elite Pc
Advocare , Llc
West Orange Asc Llc
West Orange Asc Llc
Stonegate Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
95

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey