OrganizationActive
Bloom Endo, LLC
NPI 1679342042 · Endodontics · Summerville, SC
Bloom Endo, LLC is a Endodontics organization in Summerville, SC (NPI 1679342042).
Provider details
- NPI number
- 1679342042
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Gibson, Endodontist/Owner(843) 647-6052
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
617 Myers Rd Ste B
Summerville, SC 29486-8902
Phone: (843) 647-6052
Street-level locationGet directions
Mailing address
617 Myers Rd Ste B
Summerville, SC 29486-8902
Other names (DBA / former)
- Doing business as
- Bloom Endodontics
- Doing business as
- Bloom Endodontics
Registry dates
- Enumerated
- 2023-12-27
- Last updated
- 2024-02-13
- Certified
- 2024-02-13
Frequently asked questions
- What is Bloom Endo, LLC's NPI number?
- Bloom Endo, LLC's National Provider Identifier (NPI) is 1679342042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bloom Endo, LLC?
- Bloom Endo, LLC is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Bloom Endo, LLC located?
- Bloom Endo, LLC's practice location on file with NPPES is 617 Myers Rd Ste B, Summerville, SC 29486-8902.
- What is Bloom Endo, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bloom Endo, LLC is (843) 647-6052.
- Who is the authorized official for Bloom Endo, LLC?
- The authorized official listed on Bloom Endo, LLC's NPPES record is Timothy Gibson, Endodontist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bloom Endo, LLC's NPI active?
- Yes — Bloom Endo, LLC's NPI (1679342042) is active in the NPPES registry as of the last update on 2024-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.