Dr. Jonathan A Bloom, DDS
Dentist, General Practice in South Burlington, Vermont
1093884462- Practice location
- 118 Tilley Dr Ste 101, South Burlington, VT 05403-4450
- Phone
- 802-863-3950
- Fax
- 802-863-3601
- Last updated
- May 16, 2012
Jonathan A Bloom is a Dentist, General Practice based in South Burlington, VT. Jonathan A Bloom practices in South Burlington, VT and has the professional credentials of DDS. The NPI Number for Jonathan A Bloom is 1093884462 and holds a License No. 2268 (VT). The current practice location address for Jonathan A Bloom is 118 Tilley Dr Ste 101, South Burlington, VT 05403-4450 and can be reached out via phone at 802-863-3950 and via fax at 802-863-3601.
Provider Profile Details
- NPI Number
- 1093884462
- Provider Name
- Jonathan A Bloom
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 118 Tilley Dr Ste 101, South Burlington, VT 05403-4450
- Phone Number
- 802-863-3950
- Fax Number
- 802-863-3601
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 7, 2006
- Last Update Date
- May 16, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 118 Tilley Dr Ste 101
South Burlington, VT 05403-4450 - City
- South Burlington
- State
- Vermont
- Zip
- 05403-4450
- Phone Number
- 802-863-3950
- Fax Number
- 802-863-3601
Provider Business Mailing Address Details
- Address
- 120 Nicklaus Cir
South Burlington, VT 05403-8015 - City
- South Burlington
- State
- VT
- Zip
- 05403-8015
- Phone Number
- 802-497-0814
- Fax Number
- 802-497-0814
License Information
- License Number
- 2268
- License State
- VT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near South Burlington, VT
View all Dentist, General Practice providers in South Burlington →- Dr. Kevin H Acone, DMDDentist, General Practice · NPI 1598993768
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan A Bloom, DDS?
The NPI number of Dr. Jonathan A Bloom, DDS is 1093884462. It was assigned on November 7, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan A Bloom, DDS?
Dr. Jonathan A Bloom, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in VT under license number 2268.
Where does Dr. Jonathan A Bloom, DDS practice?
The practice location is 118 Tilley Dr Ste 101, South Burlington, VT 05403-4450. The office can be reached at 802-863-3950 (phone) or 802-863-3601 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093884462 directly on the NPPES registry website.