Samantha Rosenbloom, DMD
Dentist in Brattleboro, VT. Individual provider (NPI-1).
NPI number1194549006
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1194549006
- Entity type
- Individual (NPI-1)
- Name
- Samantha Rosenbloom
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2024
- Certification date
- Nov 8, 2024
- Last updated
- Nov 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 016.0134328 | VT | Yes |
Practice location
999 Putney RdBrattleboro, VT 05301-5101
Phone 802-254-8322
Mailing address
Po Box 8065Brattleboro, VT 05304-8065
Phone 802-254-8322
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Dentist providers in Brattleboro · All 873 providers in Brattleboro
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