THE BLOOM ORAL SURGERY, P.C.


Address: 219 N Hammes Ave Ste 1, Joliet, IL 60435-8145
Phone: 3057337053

THE BLOOM ORAL SURGERY, P.C. (NPI# 1427605351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427605351
Entity Type Organization
Organization Name THE BLOOM ORAL SURGERY, P.C.
Practice Address 219 N Hammes Ave Ste 1
Joliet
IL 60435-8145
Mailing Address 1525 Norman Dr
Darien
IL 60561-4433
Practice Telephone 3057337053
Enumeration Date 2019-08-26
Last Update Date 2019-08-26
Authorized Official Name JOHN BLOOM (OWNER)
Authorized Official Telephone 3057337053
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
Ambulatory Health Care Facilities

Office Location

Street Address 219 N HAMMES AVE STE 1
City JOLIET
State IL
Zip Code 60435-8145

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851889018 Chime Ajiere Nurse Practitioner 511 Theodore St, Joliet, IL 60435 2018-04-24
1740791284 Melanie Presnak Speech-Language Pathologist 1207 N Larkin Ave, Joliet, IL 60435 2017-10-23
1831618883 Jeriel Marsena Quarles Licensed Practical Nurse 1617 W Jefferson Street, Joliet, IL 60435 2017-09-11
1053769760 Cody Hutchinson Physical Therapy Assistant 2943 W Jefferson St, Joliet, IL 60435 2016-06-03
1659748549 Megan Ryab Massage Therapist 501 Wilcox St, Joliet, IL 60435 2015-08-26
1922416197 Kodo Care, Inc. Pharmacy 221 Springfield Avenue, Suite A, Joliet, IL 60435 2014-07-31
1528489739 My Family Doc LLC Family Medicine 2001-03 Essington Rd, Joliet, IL 60435 2013-12-16
1184973869 R A Lombardi Dds PC Dentist 3011 Theodore St., Joliet, IL 60435 2012-09-10
1245546076 Kelly Rae Lesemann Chiropractor 1011 Essington Road, Joliet, IL 60435 2010-08-31
1932413697 Ann E Todd Optometrist 1521 Essington Road, Everything In Sight, Joliet, IL 60435 2010-08-04
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Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528543121 Joms LLC Clinic/Center 10 Martin Ave Ste 164, Naperville, IL 60540-6563 2018-09-28
1750861209 Winterset Dental Care PC Clinic/Center 8559 S Pulaski Rd Ste 103, Chicago, IL 60652-3643 2018-08-15
1679070189 Lakeside Oral & Implant Surgery Institute, PC Clinic/Center 5758 S Maryland Ave # 4h, Chicago, IL 60637-1426 2018-04-11
1962753210 Millennium Surgical, Inc Clinic/Center 5978 S Archer Ave, Chicago, IL 60638-2817 2012-09-26
1851551642 Alan Andreas Harvey Clinic/Center 2500 Ridge Ave Ste 302, Evanston, IL 60201-2477 2008-06-15
1881808053 Oral and Maxillofacial Surgery Specalists Ltd. Clinic/Center 4035 Morsay Dr., Rockford, IL 61107-4871 2007-05-09
1962599605 Affiliated Oral & Maxillofacial Surgeons Ltd Clinic/Center 3438 N Old Arlington Heights Rd, Arlington Heights, IL 60004 2006-10-06
1437703113 Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il Clinic/Center 208 N Walnut Ave, Forreston, IL 61030-9330 2019-07-30
1598250995 Periodontics and Implant Dentistry LLC Clinic/Center 8559 S Pulaski Rd, Chicago, IL 60652-3643 2018-06-27
1205288982 Lakeside Oral & Facial Surgery Institute Clinic/Center 2500 Ridge Ave, Suite 302, Evanston, IL 60201-2455 2016-07-06
Find all providers with the same taxonomy

Competitor

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City JOLIET
Zip Code 60435

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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