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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN A BLOOM, D.D.S.

Active Sole Proprietor

DR. JONATHAN A BLOOM, D.D.S. is a General Dentistry healthcare provider located in SOUTH BURLINGTON, Vermont. NPI 1093884462 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SOUTH BURLINGTON, VT

Registration Details

NPI Number
1093884462
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2006 (19.727381591657 yrs)
Last Updated
May 16, 2012
License
2268 (VT)
Sole Proprietor
Yes

Practice Information

Address
118 TILLEY DR STE 101
SOUTH BURLINGTON, VT, 054034450
Browse VT providers · Browse ZIP 05403
Phone
8028633950
Fax
8028633601
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in SOUTH BURLINGTON, VT

Name Credential NPI
DR. PAUL FRANCIS KENWORTHY DMD 1336106525
BETTINA D LAIDLEY DMD 1154357572
DR. JANET THOMASON MICCOLO D.D.S. 1891710794
DR. DAVID EDWARD MCLEAN DDS 1588685259
DR. JOHN L WOLFF III DDS 1750399713
DR. STEVEN R FISCHER DDS 1902917388
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.