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

Bloom Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1841805991

Bloom Pediatric Dentistry is a Pediatric Dentistry in Dallas, Oregon. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

410 E Ellendale Ave Ste 1
Dallas, OR 97338-3052
Phone: (503) 507-0996
Show map & directions

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

Additional practice locations (1)

  • 201 Se Washington St Ste A, Dallas, OR 97338-2860 — (503) 507-0996

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1841805991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin James — Owner / Dentist · (541) 666-6091
NPI enumeratedSeptember 14, 2020
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address410 E Ellendale Ave Ste 1, Dallas, OR 97338-3052

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