BLOOMFIELD DENTAL CARE PLLC NPI 1437297348

NPI Information

  • NPI: 1437297348
  • Provider Name: BLOOMFIELD DENTAL CARE, PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • :
  • Address: 112 FAIRFIELD HL
    BLOOMFIELD, KY
    ZIP 40008
  • Phone: (502) 252-0056

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NPI Details

BLOOMFIELD DENTAL CARE, PLLC is a general practice dentist in Bloomfield, KY. The provider is 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. BLOOMFIELD DENTAL CARE, PLLC NPI is 1437297348. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

112 FAIRFIELD HL
BLOOMFIELD, KY
ZIP 40008-127
Phone: (502) 252-0056
Fax: (502) 252-0058

The provider's authorized official is Joshua Dolphus Blackmon .
The authorized official title is Member / Partner and has the following contact phone number (502) 348-6404.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 5/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6805KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16238OTHERKENTUCKYPASSPORT
2267366OTHERKENTUCKYUNITED CONCORDIA PROVIDER
361943601MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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