Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Larry Dean Bloom, DDS

Individual provider Pediatric Dentistry · NPI 1467716167

Larry Dean Bloom, DDS practises Pediatric Dentistry in Hudson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
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

131 Carmichael Rd Ste 200
Hudson, WI 54016-8271 Not confirmed with CMS for 14 years — call before visiting
Phone: (855) 527-3848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 6844-15 (WI)

Record details

NPI number1467716167
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESJune 28, 2012

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