DR. JONATHAN BLOOM, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1093884462
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 2268 (VT) |
Frequently Asked Questions
NPI 1093884462 is the National Provider Identifier for DR. JONATHAN BLOOM, D.D.S., a Dentist - General Practice provider located in South Burlington, VT. This NPI was enumerated on November 7, 2006.
DR. JONATHAN BLOOM, D.D.S. practices at 118 TILLEY DR STE 101, South Burlington, VT 05403.
Quick Facts
- NPI
- 1093884462
- Type
- Individual
- Enumerated
- Nov 7, 2006
- Last Updated
- May 16, 2012
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