Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JOHN DOUGLAS BLOOM DDS
NPI 1255319364
Dentist in Great Lakes, IL

Active since January 09, 2006
3001 6TH ST, GREAT LAKES, IL 60088(847) 688-2100 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John Douglas Bloom Dds NPPES

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

DR. JOHN DOUGLAS BLOOM DDS (NPI 1255319364) is an individual dentist in Great Lakes, Illinois and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1255319364
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN DOUGLAS BLOOMCredential: DDS
Location Address3001 6TH STGreat Lakes, IL 60088-2833
Mailing Address3001 6th StGreat Lakes, IL 60088-2833 · (847) 688-2100
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1255319364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.

3001 6TH ST, Great Lakes, IL 60088

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.

Dentist (General Practice)
3001 6TH ST
GREAT LAKES, IL 60088
Psychologist (Clinical)
3001 6TH ST
GREAT LAKES, IL 60088
Nurse Practitioner (Pediatrics)
3001 6TH ST
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST
GREAT LAKES, IL 60088
Dentist (Endodontics)
3001 6TH ST, NHGL DENTAL DIRECTORATE
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST
GREAT LAKES, IL 60088
Dentist
3001 6TH ST
GREAT LAKES, IL 60088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255319364, enumerated as an "individual" on January 09, 2006.

The provider is located at 3001 6TH ST GREAT LAKES, IL 60088 and the phone number is (847) 688-2100.

Dentist with taxonomy code 122300000X.