1. Home
  2. Directory
  3. Wisconsin
  4. Hudson
  5. Dentist
  6. NPI Profile

LARRY DEAN BLOOM DDS
NPI 1467716167
Dentist - Pediatric Dentistry in Hudson, WI

Active since June 27, 2012
131 CARMICHAEL RD STE 200, HUDSON, WI 54016(855) 527-3848 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Dean Bloom Dds NPPES

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

LARRY DEAN BLOOM DDS (NPI 1467716167) is an individual pediatric dentistry provider in Hudson, Wisconsin, licensed in Wisconsin (6844-15) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1467716167
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameLARRY DEAN BLOOMCredential: DDS
Location Address131 CARMICHAEL RD STE 200Hudson, WI 54016-8271
Mailing Address131 Carmichael Rd Ste 200Hudson, WI 54016-8271 · (855) 527-3848
Phone(855) 527-3848
Sole ProprietorNo
Enumeration DateJune 27, 2012
Last NPPES UpdateJune 28, 2012
✔ NPI 1467716167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WI · 6844-15
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.
131 CARMICHAEL RD STE 200, Hudson, WI 54016
Open in Google Maps ↗

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.

BECKY S. MAHER D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
131 CARMICHAEL RD STE 200
HUDSON, WI 54016
St. Croix County (715) 381-3600
LA PETITE DENTISTRY
Dentist (Pediatric Dentistry)
131 CARMICHAEL RD STE 200
HUDSON, WI 54016
St. Croix County (855) 527-3848

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 Bloom's NPI number?

The NPI number for Larry Bloom is 1467716167. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Larry Bloom located?

Larry Bloom practices at 131 Carmichael Rd Ste 200, Hudson, WI 54016. The listed phone number is (855) 527-3848.

What is Larry Bloom'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 Bloom was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.