DR. Jeffrey T Bloom, DDS

NPI #1144392440 in Rapid City, South Dakota

Provider Information

NPI Number: 1144392440
Entity Type: Individual
Name: DR. Jeffrey T Bloom, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 14, 2006
Last Updated: Mar 31, 2015

Practice Location

Address: 631 ST ANNE ST
Address 2: SUITE 105
City: Rapid City
State: South Dakota
ZIP Code: 57701
Phone: (605) 343-6003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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