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:
Health care specialties
Specialty | Code | License # | 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 10 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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