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

Dr. Jacob Blom, DDS

Individual provider Dentist · NPI 1841774668

Dr. Jacob Blom, DDS is a Dentist in Davis, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4515 Fermi Pl Ste 106
Davis, CA 95618-9411
Phone: (530) 750-1955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 103246 (CA)

Record details

NPI number1841774668
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESSeptember 18, 2018
Mailing address4515 Fermi Pl Ste 106, Davis, CA 95618-9411

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