# BLOOMFIELD DENTAL CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bloomfield Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437297348
- **Authorized official:** DR. JOSHUA DOLPHUS BLACKMON DMD (MEMBER / PARTNER)
- **Authorized official phone:** (502) 348-6404

## Contact information

- **Practice address:** 112 FAIRFIELD HL, BLOOMFIELD, KY 40008-6127
- **Practice address phone:** (502) 252-0056
- **Practice address fax:** (502) 252-0058
- **Mailing address:** 208 E FLAGET AVE, BARDSTOWN, KY 40004-1520
- **Mailing address phone:** (502) 252-0056
- **Mailing address fax:** (502) 252-0058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6805 | KY | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 05/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 267366 | UNITED CONCORDIA PROVIDER | KY |
| 05 | — | 61943601 | — | KY |
| 01 | — | 6238 | PASSPORT | KY |