DR. SPENCER ROBERT BLOOM DDS
NPI 1245430057
Dentist - General Practice in Chicago, IL

Active since July 19, 2007
5530 W MONTROSE AVE, CHICAGO, IL 60641(773) 777-3309(773) 777-3856 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Spencer Robert Bloom Dds NPPES

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

DR. SPENCER ROBERT BLOOM DDS (NPI 1245430057) is an individual general practice provider in Chicago, Illinois and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1245430057
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SPENCER ROBERT BLOOMCredential: DDS
Location Address5530 W MONTROSE AVEChicago, IL 60641-1330
Mailing Address5530 W Montrose AveChicago, IL 60641-1330 · (773) 777-3309 · Fax (773) 777-3856
Fax(773) 777-3856
Sole ProprietorYes
Enumeration DateJuly 19, 2007
NPI 1245430057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5530 W MONTROSE AVE, Chicago, IL 60641

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
5530 W MONTROSE AVE
CHICAGO, IL 60641

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 Spencer Bloom's NPI number?

The NPI number for Spencer Bloom is 1245430057. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Spencer Bloom located?

Spencer Bloom practices at 5530 W Montrose Ave, Chicago, IL 60641. The listed phone number is (773) 777-3309.

What is Spencer Bloom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Spencer Bloom was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.