IndividualActive
Jesse Bloomfield, DMD
NPI 1043661945 · General Practice Dentistry · Delta, UT
Provider details
- NPI number
- 1043661945
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DEN.00202874 (CO)
Specialties & taxonomies
Dental Providers
Practice location
60 S 300 E
Delta, UT 84624-5551
Phone: (435) 864-5195
Fax: (435) 864-5199
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 310
Delta, UT 84624-0310
Registry dates
- Enumerated
- 2016-06-22
- Last updated
- 2020-11-18
- Certified
- 2020-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.