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

DR. ROBERT JAY BLOOM, DDS

Active

DR. ROBERT JAY BLOOM, DDS is a Periodontology healthcare provider located in ST PAUL, Minnesota. NPI 1467527143 is currently active in the NPPES registry. Verify at CMS.

Periodontology · ST PAUL, MN

Registration Details

NPI Number
1467527143
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2006 (19.693564327505 yrs)
Last Updated
Jul 8, 2007
License
8022 (MN)

Practice Information

Address
393 N DUNLAP ST
SUITE 100 CENTRAL MEDICAL BLDG
ST PAUL, MN, 55104
Browse MN providers · Browse ZIP 55104
Phone
6516461318
Fax
6516422592
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in ST PAUL, MN

Name Credential NPI
DR. WILLIAM C HILL DDS 1558469627
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.