Bloom, James Matthew

Bloom, James Matthew is an individual health care provider with primary practice located at 11949 Lioness Way Ste 100 , Parker CO 80134-6083. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Bloom, James Matthew can be contacted via phone (443) 804-1967.

Contact Information

Primary practice address
11949 Lioness Way Ste 100 Parker CO 80134-6083
Phone: (443) 804-1967
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X HAD34 Florida
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DEN.00203556 Colorado
Dental Providers / General Practice 1223G0001X 80136689921 Utah

Profile Details

NPI number 1184910994
LBN Legal business name Bloom, James Matthew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2011
Last updated Aug 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184910994 NPPES
Florida MEDICAID 004058400

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