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BLOOM DENTAL PRACTICE PLLC
NPI 1487403838
Dentist - General Practice in Chicago, IL

Active since May 17, 2024
910 S MICHIGAN AVE APT 1211, CHICAGO, IL 60605(317) 696-9011 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bloom Dental Practice Pllc NPPES

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

BLOOM DENTAL PRACTICE PLLC (NPI 1487403838), doing business as South Loop Dental Group, is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since May 2024. The organization lists Andrew Bloom, Owner, as its authorized official.

NPPES Registry Identity

NPI1487403838
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLOOM DENTAL PRACTICE PLLC
Location Address910 S MICHIGAN AVE APT 1211Chicago, IL 60605-2284
Mailing Address910 S Michigan Ave Apt 1211Chicago, IL 60605-2284
Phone(317) 696-9011
Organization SubpartNo
Authorized OfficialAndrew BloomOwner · (317) 696-9011
Enumeration DateMay 17, 2024
NPPES CertifiedMay 17, 2024
✔ NPI 1487403838 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.
910 S MICHIGAN AVE APT 1211, Chicago, IL 60605
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Other Names 1

Doing Business AsSouth Loop Dental Group

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

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 Bloom Dental Practice PLLC's NPI number?

The NPI number for Bloom Dental Practice PLLC is 1487403838. It was assigned to this organization in the NPPES registry on May 17, 2024. The provider is doing business as South Loop Dental Group.

Where is Bloom Dental Practice PLLC located?

Bloom Dental Practice PLLC is located at 910 S Michigan Ave Apt 1211, Chicago, IL 60605. The listed phone number is (317) 696-9011.

What is Bloom Dental Practice PLLC'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 Bloom Dental Practice PLLC was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.