DR. ROBERT JAY BLOOM DDS NPI 1467527143

NPI Information

  • NPI: 1467527143
  • Provider Name: DR. ROBERT JAY BLOOM, DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 393 N DUNLAP ST
    SUITE 100 CENTRAL MEDICAL BLDG
    ST PAUL, MN
    ZIP 55104
  • Phone: (651) 646-1318

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NPI Details

DR. Robert Jay Bloom, DDS is a periodontics dentist in St Paul, MN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Robert Jay Bloom, DDS NPI is 1467527143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

393 N DUNLAP ST
SUITE 100 CENTRAL MEDICAL BLDG
ST PAUL, MN
ZIP 55104
Phone: (651) 646-1318
Fax: (651) 642-2592

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/8/2007.

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
11223P0300XDentistPeriodontics8022MINNESOTAYes

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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