Nathan Lee Bloom, D.D.S.

General Practice Dentistry · Sheboygan, WI

Individual Active NPI

NPI number 1215224829

Practice location

3233 Superior Ave
Sheboygan, WI 53081-1858
Phone
(920) 457-0888
Fax
(920) 457-0896

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NPI record

NPI
1215224829
Entity type
Individual (Type 1)
Enumeration date
July 3, 2011
Last updated
May 11, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6711-015 WI

About Dr. Bloom

Nathan Lee Bloom, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3233 Superior Ave, Sheboygan, WI 53081-1858. The NPI number 1215224829 was assigned on July 3, 2011 and the record was last updated on May 11, 2015.

Dr. Bloom lists a license in the registry: #6711-015 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nathan Lee Bloom, D.D.S.?

The NPI number is 1215224829.

What is the phone number of Dr. Bloom?

The phone number listed for the practice location is (920) 457-0888.

Where is Dr. Bloom located?

3233 Superior Ave, Sheboygan, WI 53081-1858.

What is the taxonomy code for Dr. Bloom?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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