Michael A. Bloom DMD PLLC
Michael A. Bloom DMD PLLC is a Health Maintenance Organization in Hayden Lake, Idaho. Licensed in Idaho. Registered with an NPI since 2013.
- Licensed in
- ID
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9928 N Government WayHayden Lake, ID 83835-9604
Phone: (208) 772-3583
Fax: (208) 772-3224
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence D3394 (ID) |
|---|---|
| Health Maintenance Organization | Taxonomy 302R00000X · Licence D3555 (ID) |
Record details
| NPI number | 1033554845 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathy Marks — Office Manager · (208) 772-3583 |
| NPI enumerated | May 7, 2013 |
| Last updated in NPPES | May 7, 2013 |
| Mailing address | Po Box 425, Hayden Lake, ID 83835-0425 |