Individual provider · Type 1 NPI
Larry Dean Bloom, DDS
Pediatric Dentistry · Hudson, WI
NPI number
1467716167
Active
Practice location
131 Carmichael Rd Ste 200
Hudson, WI 54016-8271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 6844-15 (WI) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Hudson
About NPI 1467716167
Larry Dean Bloom, DDS's National Provider Identifier is 1467716167, issued on Jun 27, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hudson, WI. The record was last updated on Jun 28, 2012.