ASPEN BLOOM PLLC NPI 1578407607

NPI Information

  • NPI: 1578407607
  • Provider Name: ASPEN BLOOM, PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 7936 PORTLAND AVE S
    BLOOMINGTON, MN
    ZIP 55420
  • Phone: (952) 852-7776

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NPI Details

ASPEN BLOOM, PLLC is a general practice dentist in Bloomington, MN. 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. ASPEN BLOOM, PLLC NPI is 1578407607. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7936 PORTLAND AVE S
BLOOMINGTON, MN
ZIP 55420-315
Phone: (952) 852-7776
Fax: (952) 703-0458

The provider's authorized official is Christine Barber .
The authorized official title is Provider Enrollment Manager and has the following contact phone number (315) 454-6000.

The enumeration date for this NPI number is 4/17/2026 and was last updated on 4/17/2026.

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 PracticeYes

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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