IndividualActive
Robert Bloom, DDS
NPI 1467527143 · Periodontics · St Paul, MN
Provider details
- NPI number
- 1467527143
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 8022 (MN)
Specialties & taxonomies
Dental Providers
Practice location
393 N Dunlap St
Suite 100 Central Medical Bldg
St Paul, MN 55104
Phone: (651) 646-1318
Fax: (651) 642-2592
Approximate (ZIP-level) locationGet directions
Mailing address
393 N Dunlap St
St Paul, MN 55104
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.