# JAMES BLOOM DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bloom Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548935463
- **Authorized official:** DR. JAMES MATTHEW BLOOM DDS (OWNER/ORTHODONTIST)
- **Authorized official phone:** (443) 804-1967

## Contact information

- **Practice address:** 11949 LIONESS WAY STE 100, PARKER, CO 80134-6083
- **Practice address phone:** (443) 804-1967
- **Mailing address:** 5208 FOX MEADOW DR, HIGHLANDS RANCH, CO 80130-8976
- **Mailing address phone:** (443) 804-1967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2021
- **Last updated:** 08/12/2021