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BLOOM DENTAL GROUP
NPI 1730535774
Dentist - General Practice in San Mateo, CA

Active since May 09, 2016
800 S B ST, SUITE #200, SAN MATEO, CA 94401(650) 458-3727 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bloom Dental Group NPPES

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

BLOOM DENTAL GROUP (NPI 1730535774) is a healthcare organization registered as a general practice in San Mateo, California and active in the NPI registry since May 2016. The organization lists Patti Bolander, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1730535774
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name1012 GROUP, INC
Location Address800 S B ST, SUITE #200San Mateo, CA 94401-4271
Mailing Address800 S B St, Suite #200San Mateo, CA 94401-4271 · (650) 458-3727
Phone(650) 458-3727
Organization SubpartNo
Authorized OfficialPatti BolanderDirector Of Operations · (650) 458-3727
Enumeration DateMay 9, 2016
✔ NPI 1730535774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 58767
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.
800 S B ST, San Mateo, CA 94401
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Other Names 1

Doing Business AsBloom 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

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.

NAZARETH PARK PLACE INC
Assisted Living Facility
800 S B ST, SUITE 100
SAN MATEO, CA 94401
San Mateo County (650) 347-9500
GARIK OGANESIAN DDS
Dentist (General Practice)
800 S B ST
SAN MATEO, CA 94401
San Mateo County (559) 916-9301

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 1012 Group, Inc's NPI number?

The NPI number for 1012 Group, Inc is 1730535774. It was assigned to this organization in the NPPES registry on May 9, 2016. The provider is doing business as Bloom Dental Group.

Where is 1012 Group, Inc located?

1012 Group, Inc is located at 800 S B St Suite #200, San Mateo, CA 94401. The listed phone number is (650) 458-3727.

What is 1012 Group, Inc'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 1012 Group, Inc was last updated on May 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.