Bloom, Jeffrey T

Bloom, Jeffrey T is an sole proprietor health care provider with primary practice located at 631 St Anne St Suite 105, Rapid City SD 57701. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bloom, Jeffrey T can be contacted via phone (605) 343-6003.

Contact Information

Primary practice address
631 St Anne St Suite 105 Rapid City SD 57701
Phone: (605) 343-6003
Fax: (605) 342-0998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X M660 South Dakota

Profile Details

NPI number 1144392440
LBN Legal business name Bloom, Jeffrey T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Mar 31st, 2015 - about 11 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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