Whalio Doctors

NPI 1982869418

John Bloom, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Midlothian, VA

Practice location

Address
1680 Huguenot Rd, Midlothian, VA 23113-2427
Phone
(804) 379-7120
Fax
(804) 379-9835

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 0438000369 (VA)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 0401415472 (VA)

Registry record

NPI
1982869418
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Jul 2008
Record last updated
17 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.