Individual ProviderGary Brian BloomfieldDentistDental ProvidersPractice Address2301 S Huron Pkwy, Ann Arbor, MI 48104-5133(734) 971-2310PECOS EnrollmentBased on the most recent information from CMS, provider Gary Brian Bloomfield does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1528185477Provider TypeIndividualFull NameBloomfield, Gary BrianTitleDr.CredentialDDSGenderMaleSole ProprietorYesEnumeration Date3/24/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2301 S Huron Pkwy, Ann Arbor, MI 48104-5133Phone(734) 971-2310Fax(734) 971-1120Mailing LocationMailing Address2301 S Huron Pkwy, Ann Arbor, MI 48104-5133Phone(734) 971-2310Fax(734) 971-1120Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense2901012007Michigan