| Larry Dean Bloom, DDS | |
|
131 Carmichael Rd Ste 200, Hudson, WI 54016-8271 | |
| (855) 527-3848 | |
| Not Available |
| Full Name | Larry Dean Bloom |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 131 Carmichael Rd Ste 200, Hudson, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467716167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6844-15 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Dean Bloom, DDS 131 Carmichael Rd Ste 200, Hudson, WI 54016-8271 Ph: (855) 527-3848 | Larry Dean Bloom, DDS 131 Carmichael Rd Ste 200, Hudson, WI 54016-8271 Ph: (855) 527-3848 |
Patrick Lee Wolfe, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 900 Crestview Dr, Suite 240, Hudson, WI 54016 Phone: 715-381-5556 | |
Nicole Haus, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 593 Lenertz Rd, Hudson, WI 54016 Phone: 715-386-5400 | |
Fariba Kianmajd, Dentist Medicare: Not Enrolled in Medicare Practice Location: 709 Rodeo Dr Ste 114, Hudson, WI 54016 Phone: 716-386-3675 | |
Dr. Kenneth R Brisson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 821 Coulee Rd, Hudson, WI 54016 Phone: 715-386-3548 Fax: 715-386-3634 | |
Paul Lawton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1810 Crest View Dr, Suite 5a, Hudson, WI 54016 Phone: 715-386-3727 Fax: 715-386-4029 | |
Dr. Benjamin John Fravel, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Crestview Dr, Suite 3, Hudson, WI 54016 Phone: 715-386-8070 Fax: 715-386-8958 | |
Dr. Kelvin L. Shane, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 108 Walnut Street, Suite A, Hudson, WI 54016 Phone: 715-386-2133 Fax: 763-515-3970 |