COCHISE CHILDREN'S DENTAL CENTER
NPI 1457422669
Dentist - Pediatric Dentistry in Sierra Vista, AZ

Active since November 10, 2006
2273 E WILCOX DR, SIERRA VISTA, AZ 85635(520) 458-1835(520) 459-4145 Get Directions Write a Review

NPPES record last updated: March 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cochise Children's Dental Center NPPES

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

COCHISE CHILDREN'S DENTAL CENTER (NPI 1457422669) is a healthcare organization registered as a pediatric dentistry in Sierra Vista, Arizona and active in the NPI registry since November 2006. The organization lists Larry Dean Bloom, President, as its authorized official.

NPPES Registry Identity

NPI1457422669
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLARRY D. BLOOM, DDS, PA
Location Address2273 E WILCOX DRSierra Vista, AZ 85635-2755
Mailing Address2273 E Wilcox DrSierra Vista, AZ 85635-2755 · (520) 458-1835 · Fax (520) 459-4145
Fax(520) 459-4145
Organization SubpartNo
Authorized OfficialLarry Dean BloomPresident · (520) 458-1835
Enumeration DateNovember 10, 2006
Last NPPES UpdateMarch 21, 2008
NPI 1457422669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in AZ · D3807
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2273 E WILCOX DR, Sierra Vista, AZ 85635

Other Names 1

Doing Business AsCochise Children's Dental Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Multi-Specialty)
2273 E WILCOX DR
SIERRA VISTA, AZ 85635
Dentist (Pediatric Dentistry)
2273 E WILCOX DR
SIERRA VISTA, AZ 85635

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 Larry D. Bloom, Dds, PA's NPI number?

The NPI number for Larry D. Bloom, Dds, PA is 1457422669. It was assigned to this organization in the NPPES registry on November 10, 2006. The provider is doing business as Cochise Children's Dental Center.

Where is Larry D. Bloom, Dds, PA located?

Larry D. Bloom, Dds, PA is located at 2273 E Wilcox Dr, Sierra Vista, AZ 85635. The listed phone number is (520) 458-1835.

What is Larry D. Bloom, Dds, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Larry D. Bloom, Dds, PA was last updated on March 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.