# CARL D. BLOOM, D.M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275650012
- **Authorized official:** CARL BLOOM (OWNER)
- **Authorized official phone:** (713) 721-2275

## Contact information

- **Practice address:** 9641 HILLCROFT ST, HOUSTON, TX 77096-3805
- **Practice address phone:** (713) 721-2275
- **Mailing address:** 800 N 2ND ST, BELLAIRE, TX 77401-2802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 17269 | TX | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020