DR. JONATHAN A BLOOM (NPI# 1093884462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093884462 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN A BLOOM |
| Credential | D.D.S. |
| Practice Address |
118 Tilley Dr Ste 101 South Burlington VT 05403-4450 |
| Mailing Address |
120 Nicklaus Cir South Burlington VT 05403-8015 |
| Practice Telephone | 8028633950 |
| Practice Fax Number | 8028633601 |
| Mailing Telephone | 8024970814 |
| Mailing Fax Number | 8024970814 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2268 | VT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| 1376052639 | Jonathan C Bloom | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2017-09-29 |
| 1851427272 | Jonathan David Bloom | Anesthesiology | Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 | 2007-02-27 |
| Street Address |
118 TILLEY DR STE 101 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-4450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811404619 | Green Mountain Dental, Plc | Dentist | 118 Tilley Dr Ste 101, South Burlington, VT 05403-4450 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356722680 | Evan Perler | Dentist | 1060 Hinesburg Rd Ste 302, South Burlington, VT 05403-7628 | 2015-06-11 |
| 1063723880 | Julia Collins | Dentist | 1362 Williston Rd, South Burlington, VT 05403-6416 | 2010-06-25 |
| 1780872903 | Kenneth Kero | Dentist | 1128 Williston Rd, South Burlington, VT 05403-5718 | 2007-10-12 |
| 1891919924 | Champlain Dental Group, Ltd | Dentist | 150 Dorset St, Suite 260, South Burlington, VT 05403-6256 | 2007-04-12 |
| 1780722124 | Karen Lindemann Sperry | Dentist | 595 Dorset St # 1, South Burlington, VT 05403-6240 | 2007-02-01 |
| 1558459974 | Michael Lawrence Ziegler | Dentist | 1340 Williston Rd, South Burlington, VT 05403-6469 | 2006-10-11 |
| 1750399713 | John L Wolff IIi | Dentist | 1683 Williston Road, South Burlington, VT 05403-6426 | 2006-08-04 |
| 1588685259 | David Edward Mclean | Dentist | 1683 Williston Rd, Suite 1, South Burlington, VT 05403-6426 | 2006-07-21 |
| 1154357572 | Bettina D Laidley | Dentist | 165 Dorset Street, South Burlington, VT 05403 | 2006-06-25 |
| 1336106525 | Paul Francis Kenworthy | Dentist | 1 Kennedy Dr # Ll4, South Burlington, VT 05403-7152 | 2006-04-30 |
| Find all providers in SOUTH BURLINGTON | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
Please comment or provide details below to improve the information on DR. JONATHAN A BLOOM.
| 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.