Michael Aaron Bloom, DMD

General Practice Dentistry · Hayden, ID

Individual Active NPI

NPI number 1366527780

Practice location

9928 N Government Way
Hayden, ID 83835-9604
Phone
(208) 772-3583
Fax
(208) 772-3224

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NPI record

NPI
1366527780
Entity type
Individual (Type 1)
Enumeration date
October 25, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D-3394 ID

About Dr. Bloom

Michael Aaron Bloom, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 9928 N Government Way, Hayden, ID 83835-9604. The NPI number 1366527780 was assigned on October 25, 2006 and the record was last updated on July 8, 2007.

Dr. Bloom lists a license in the registry: #D-3394 (ID) 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 Michael Aaron Bloom, DMD?

The NPI number is 1366527780.

What is the phone number of Dr. Bloom?

The phone number listed for the practice location is (208) 772-3583.

Where is Dr. Bloom located?

9928 N Government Way, Hayden, ID 83835-9604.

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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