Individual provider · Type 1 NPI

Jonathan A. Bloom, DDS

General Practice Dentistry · South Burlington, VT

NPI number 1093884462 Active

Practice location

118 Tilley Dr Ste 101
South Burlington, VT 05403-4450

Fax (802) 863-3601

Mailing address

120 Nicklaus Cir
South Burlington, VT 05403-8015

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2268 (VT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1093884462

Jonathan A. Bloom, DDS's National Provider Identifier is 1093884462, issued on Nov 7, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Burlington, VT. The record was last updated on May 16, 2012.