Individual provider · Type 1 NPI

Benjamin Jacob Bloom

Dentist · Richmond, VA

NPI number 1104759810 Active

Practice location

1000 E Broad St
Richmond, VA 23219-1930

Mailing address

1677 Ewing Park Loop
Midlothian, VA 23113-3449

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X0401420054 (VA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104759810

Benjamin Jacob Bloom's National Provider Identifier is 1104759810, issued on Jun 4, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Richmond, VA. The record was last updated on Jun 4, 2026.