Individual
DR. JESSE K BLOOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
60 S 300 E, DELTA, UT 84624-5551
(435) 864-5195
(435) 864-5199
Mailing address
PO BOX 310, DELTA, UT 84624-0310
(435) 864-5195
(435) 864-5199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00202874
CO
Other
Enumeration date
06/22/2016
Last updated
11/18/2020
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