Garry J. Bloch DMD LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS21239L Issued in PA

Legal business name

GARRY J. BLOCH DMD LLC

Practice address

355 5TH Ave
Suite 1110
Pittsburgh, PA 15222-2409

Phone

(412) 391-3003

Fax

(412) 391-3494

NPI assigned

Jul 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Garry J. Bloch, DMD

Title

President

Phone

(412) 391-3003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1275552341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 5TH AVE STE 1110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152222407",
            "telephone_number": "412-391-3003",
            "fax_number": "412-391-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 5TH AVE",
            "address_2": "SUITE 1110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152222409",
            "telephone_number": "412-391-3003",
            "fax_number": "412-391-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY J. BLOCH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "BLOCH",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-391-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS21239L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "1319942",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.