OrganizationActive
Larry D. Bloom, DDS, PA
NPI 1457422669 · Pediatric Dentistry · Sierra Vista, AZ
Larry D. Bloom, DDS, PA is a Pediatric Dentistry organization in Sierra Vista, AZ (NPI 1457422669).
Provider details
- NPI number
- 1457422669
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Larry Bloom, President(520) 458-1835
- License
- D3807 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2273 E Wilcox Dr
Sierra Vista, AZ 85635-2755
Phone: (520) 458-1835
Fax: (520) 459-4145
Street-level locationGet directions
Mailing address
2273 E Wilcox Dr
Sierra Vista, AZ 85635-2755
Other names (DBA / former)
- Doing business as
- Cochise Children'S Dental Center
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2008-03-21
Frequently asked questions
- What is Larry D. Bloom, DDS, PA's NPI number?
- Larry D. Bloom, DDS, PA's National Provider Identifier (NPI) is 1457422669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Larry D. Bloom, DDS, PA?
- Larry D. Bloom, DDS, PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Larry D. Bloom, DDS, PA located?
- Larry D. Bloom, DDS, PA's practice location on file with NPPES is 2273 E Wilcox Dr, Sierra Vista, AZ 85635-2755.
- What is Larry D. Bloom, DDS, PA's phone number?
- The practice phone number listed in the NPPES registry for Larry D. Bloom, DDS, PA is (520) 458-1835.
- Who is the authorized official for Larry D. Bloom, DDS, PA?
- The authorized official listed on Larry D. Bloom, DDS, PA's NPPES record is Larry Bloom, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Larry D. Bloom, DDS, PA's NPI active?
- Yes — Larry D. Bloom, DDS, PA's NPI (1457422669) is active in the NPPES registry as of the last update on 2008-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.