Dr. Jesse K Bloomfield, DMD
Dentist, General Practice in Delta, UT. Individual provider (NPI-1).
NPI number1043661945
StatusActive
Last updated in NPPESNov 18, 2020
Details
- NPI
- 1043661945
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jesse K Bloomfield
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2016
- Certification date
- Nov 18, 2020
- Last updated
- Nov 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DEN.00202874 | CO | Yes |
Practice location
60 S 300 EDelta, UT 84624-5551
Phone 435-864-5195 · Fax 435-864-5199
Mailing address
Po Box 310Delta, UT 84624-0310
Phone 435-864-5195 · Fax 435-864-5199
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