Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY DEAN BLOOM, DDS
ActiveLARRY DEAN BLOOM, DDS is a Pediatric Dentistry healthcare provider located in HUDSON, Wisconsin. NPI 1467716167 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · HUDSON, WI
Registration Details
- NPI Number
- 1467716167
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2012 (14.150475750835 yrs)
- Last Updated
- Jun 28, 2012
- License
-
6844-15 (WI)
Practice Information
- Address
-
131 CARMICHAEL RD STE 200HUDSON, WI, 540168271Browse WI providers · Browse ZIP 54016
- Phone
- 8555273848
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in HUDSON, WI
| Name | Credential | NPI |
|---|---|---|
| DR. WAFA A QURESHI | DDS | 1710098553 |
| DR. ANGELA M RUBENZER | DDS | 1225195837 |
| DR. MEGAN MARIE KINDER | DDS | 1760748941 |
| MORGAN TAYLOR REBECK | DDS | 1184287872 |
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.