National Provider Identifier
Fred G. Blum, DMD
Fred G. Blum, DMD is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 461-1670.
Profile Overview
- NPI
- 1356414080
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- November 17, 2006
- Last Updated
- July 09, 2007
Practice Location
- 890 Winton RD S
- Rochester, NY 14618-1636
Phone: (585) 461-1670
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1356414080
- Entity Type
- Individual
- Last Name
- Blum
- First Name
- Fred
- Middle Name
- G.
- Credential
- DMD
- Mailing Street Address
- 890 Winton RD S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-1636
- Mailing Country
- US
- Mailing Phone
- (585) 461-1670
- Mailing Fax
- (585) 461-1058
- Practice Street Address
- 890 Winton RD S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-1636
- Practice Country
- US
- Practice Phone
- (585) 461-1670
- Practice Fax
- (585) 461-1058
- Enumeration Date
- November 17, 2006
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)
- Other Identifiers
- 01210911 (NY)