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BLOOM ENDODONTICS
NPI 1679342042
Dentist - Endodontics in Summerville, SC

Active since December 27, 2023
617 MYERS RD STE B, SUMMERVILLE, SC 29486(843) 647-6052 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bloom Endodontics NPPES

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

BLOOM ENDODONTICS (NPI 1679342042) is a healthcare organization registered as an endodontics in Summerville, South Carolina and active in the NPI registry since December 2023. The organization lists Timothy Curtis Gibson, Endodontist/owner, as its authorized official.

NPPES Registry Identity

NPI1679342042
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameBLOOM ENDO, LLC
Location Address617 MYERS RD STE BSummerville, SC 29486-8902
Mailing Address617 Myers Rd Ste BSummerville, SC 29486-8902 · (843) 647-6052
Phone(843) 647-6052
Organization SubpartNo
Authorized OfficialTimothy Curtis GibsonEndodontist/owner · (843) 647-6052
Enumeration DateDecember 27, 2023
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1679342042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
617 MYERS RD STE B, Summerville, SC 29486
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Other Names 1

Doing Business AsBloom Endodontics

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

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

DR. TIMOTHY CURTIS GIBSON JR. DDS, MS
Dentist (Endodontics)
617 MYERS RD STE B
SUMMERVILLE, SC 29486
Berkeley County (843) 647-6052

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 Endo, LLC's NPI number?

The NPI number for Bloom Endo, LLC is 1679342042. It was assigned to this organization in the NPPES registry on December 27, 2023. The provider is doing business as Bloom Endodontics.

Where is Bloom Endo, LLC located?

Bloom Endo, LLC is located at 617 Myers Rd Ste B, Summerville, SC 29486. The listed phone number is (843) 647-6052.

What is Bloom Endo, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Bloom Endo, LLC was last updated on February 13, 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.