Bloom, Robert Jay

Bloom, Robert Jay is an individual health care provider with primary practice located at 393 N Dunlap St Suite 100 Central Medical Bldg, St Paul MN 55104. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bloom, Robert Jay can be contacted via phone (651) 646-1318.

Contact Information

Primary practice address
393 N Dunlap St Suite 100 Central Medical Bldg St Paul MN 55104
Phone: (651) 646-1318
Fax: (651) 642-2592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 8022 Minnesota

Profile Details

NPI number 1467527143
LBN Legal business name Bloom, Robert Jay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 17 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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