Jonathan Bloom, D.D.S

NPI 1093884462 · on the registry since 2006 · sole proprietor

Practice

Address: 118 Tilley Dr Ste 101
South Burlington, VT 05403
Phone: (802) 863-3950
Fax: (802) 863-3601
Organisation at this address: Green Mountain Dental, Plc
Theodorou Dental Partners Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: VT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont