Individual
DR. ANDREW BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 MEDICAL DR STE A, CARMEL, IN 46032-2985
(317) 575-1995
Mailing address
12026 WOODS BAY CT, CARMEL, IN 46033-9524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012763A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2017
Last updated
03/17/2018
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