Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY T BLOOM, DDS
Active Sole ProprietorDentist · RAPID CITY, SD
Registration Details
- NPI Number
- 1144392440
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2006 (19.435269318552 yrs)
- Last Updated
- Mar 31, 2015
- License
-
M660 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
631 ST ANNE STSUITE 105RAPID CITY, SD, 57701Browse SD providers · Browse ZIP 57701
- Phone
- 6053436003
- Fax
- 6053420998
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in RAPID CITY, SD
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY LYNN KELLY | DDS | 1588653281 |
| DR. ALLEN RAY BOND | DDS | 1912935107 |
| DR. DAVID ALAN REMPEL | DDS | 1265460091 |
| DR. MICHAEL EUGENE CRUTCHER | DDS | 1154350593 |
| DR. CHARLES JAMES ROBINSON III | DDS | 1437188059 |
| MARK H HENLINE | DDS | 1730107491 |
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.