Bruce Rosenblum, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11117 Issued in MI

Practice address

10501 Allen Rd
Ste 105
Allen Park, MI 48101-1281

Phone

(313) 383-3000

Fax

(313) 383-1631

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Dentistry, PC

  • Dentist
  • Allen Park, MI
  • NPI 1710151360
  NPD (past) Authorized official
• H2G Dental PLLC

  • General Practice Dentistry
  • Allen Park, MI
  • NPI 1629739750
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942333539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34380 LAKEHURST DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312738",
            "telephone_number": "248-553-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 ALLEN RD",
            "address_2": "STE 105",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011281",
            "telephone_number": "313-383-3000",
            "fax_number": "313-383-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bryant Anton Robinson, EP
• Jennifer Lynn Rod, OTRL
• Melissa Ann Rooker, LMT
• Meaghan Rourke, ATC
• Abby G Rumsey
• RX Discount Pharmacy
• RX Optical Laboratories, Inc.
• Deirdre Ryan, PA-C

• General Practice Dentistry in Allen Park, MI
• Providers in Allen Park, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.