Bloom Pediatric Dentistry

LBN: Bloom Pediatric Dentistry
Bloom Pediatric Dentistry is an health care organization with primary practice located at 410 E Ellendale Ave Ste 1 , Dallas OR 97338-3052. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Bloom Pediatric Dentistry can be contacted via phone (503) 507-0996, or through James, Benjamin via phone (541) 666-6091.

Contact Information

Primary practice address
410 E Ellendale Ave Ste 1 Dallas OR 97338-3052
Phone: (503) 507-0996
Fax:
Website:
Map and Directions
Authorized official contact:
Name: James, Benjamin Doctor of Dental Surgery (DDS)
Phone: (541) 666-6091

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1841805991
LBN Legal business name Bloom Pediatric Dentistry
DBA Doing business as
Authorized official James, Benjamin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2020
Last updated Jul 17th, 2026 - about 3 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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