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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BENJAMIN JACOB BLOOM
NPI 1104759810
Dentist in Richmond, VA

Active since June 04, 2026
1000 E BROAD ST, RICHMOND, VA 23219(301) 802-7282 Get Directions Write a Review

NPPES record added: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Jacob Bloom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN JACOB BLOOM (NPI 1104759810) is an individual dentist in Richmond, Virginia, licensed in Virginia (0401420054) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1104759810
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBENJAMIN JACOB BLOOM
Location Address1000 E BROAD STRichmond, VA 23219-1930
Mailing Address1677 Ewing Park LoopMidlothian, VA 23113-3449
Phone(301) 802-7282
Sole ProprietorNo
Enumeration DateJune 4, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1104759810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401420054
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1000 E BROAD ST, Richmond, VA 23219
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NADIA RAZANI DMD
Dentist
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467
KRISTIN STRUCK CPNP
Nurse Practitioner (Pediatrics)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467
MRS. CARRIE SHREVE ENTSMINGER NP
Registered Nurse (Pediatrics)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 628-5848
BRITTANY ERIN STIEFEL
Pediatrics
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467
LAUREN T. COBERT PNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-3500
DR. JORDAN LAWSON DNP, RN, CNL, NNP-BC
Nurse Practitioner (Neonatal)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 519-4300
SHELBY FOGLEMAN LCSW
Social Worker (Clinical)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-8356
DR. JEREMY RICHARD BROZYNA MD
Allergy & Immunology
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Bloom's NPI number?

The NPI number for Benjamin Bloom is 1104759810. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Benjamin Bloom located?

Benjamin Bloom practices at 1000 E Broad St, Richmond, VA 23219. The listed phone number is (301) 802-7282.

What is Benjamin Bloom's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Benjamin Bloom was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.