CHERILEE C BLOOM DDS PLLC (NPI# 1083873939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083873939 |
| Entity Type | Organization |
| Organization Name | CHERILEE C BLOOM DDS PLLC |
| Practice Address |
815 W Canfield Ave Coeur D Alene ID 83815-9765 |
| Practice Telephone | 1087622544 |
| Practice Fax Number | 2087629563 |
| Mailing Telephone | 1087622544 |
| Mailing Fax Number | 2087629563 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2017-04-07 |
| Authorized Official Name | CHERI C BLOOM (OWNER/MEMBER) |
| Authorized Official Telephone | 2087622544 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3510 | ID | Dental Providers |
| Street Address |
815 W CANFIELD AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815-9765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
| 1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
| 1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
| 1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
| 1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
| 1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
| 1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
| 1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
| Find all providers in zip 83815 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083269443 | Zachary Miller | Dentist | 700 W Ironwood Dr Ste 241, Coeur D Alene, ID 83814-4404 | 2019-08-02 |
| 1639723778 | Lindsey N R Gross | Dentist | 1800 Lincoln Way Ste 100, Coeur D Alene, ID 83814-2570 | 2019-07-26 |
| 1972990695 | Nicole Major | Dentist | 2344 N Merrit Crk Loop, Coeur D Alene, ID 83814-4950 | 2015-04-21 |
| 1588077598 | Nathan Bourassa Dds Pa | Dentist | 509 W Hanley Ave Ste 102, Coeur D Alene, ID 83815-8994 | 2014-06-06 |
| 1780023275 | Brittney Ann Penberthy | Dentist | 509 W Hanley Ave Ste 202, Coeur D Alene, ID 83815-8994 | 2013-06-18 |
| 1164650198 | Richard John Montandon | Dentist | 1859 N Lakewood Dr Ste 101, Coeur D Alene, ID 83814-2661 | 2009-06-29 |
| 1013103985 | Ryan Rediger | Dentist | 943 W Ironwood Dr, Coeur D Alene, ID 83814-4904 | 2007-09-24 |
| 1619197118 | Riverstone Dental Care | Dentist | 2344 N Merrit Creek Loop, Coeur D Alene, ID 83814-4950 | 2007-04-26 |
| 1518095678 | Jack Alan Fullwiler | Dentist | 1223 N Government Way, Coeur D Alene, ID 83814 | 2007-03-01 |
| 1447305610 | Dirne Health Centers, Inc | Dentist | 1090 West Park Place, Suite B, Coeur D Alene, ID 83814 | 2007-01-25 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83815 |
Please comment or provide details below to improve the information on CHERILEE C BLOOM DDS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.