Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Dental Practice PLLC

Organization General Practice Dentistry · NPI 1487403838

Bloom Dental Practice PLLC is a General Practice Dentistry in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

910 S Michigan Ave Apt 1211
Chicago, IL 60605-2284
Phone: (317) 696-9011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1487403838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Bloom — Owner · (317) 696-9011
Other names South Loop Dental Group
NPI enumeratedMay 17, 2024
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024
Mailing address910 S Michigan Ave Apt 1211, Chicago, IL 60605-2284

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