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

Bloom Endo, LLC

Organization Endodontics · NPI 1679342042

Bloom Endo, LLC is an Endodontics in Summerville, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

617 Myers Rd Ste B
Summerville, SC 29486-8902
Phone: (843) 647-6052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X

Record details

NPI number1679342042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Gibson — Endodontist/Owner · (843) 647-6052
Other names Bloom Endodontics; Bloom Endodontics
NPI enumeratedDecember 27, 2023
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address617 Myers Rd Ste B, Summerville, SC 29486-8902

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