Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Blom, DDS

Individual provider Dentist · NPI 1841774668

Dr. Jacob Blom, DDS is a Dentist in Davis, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4515 Fermi Pl Ste 106
Davis, CA 95618-9411
Phone: (530) 750-1955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 103246 (CA)

Record details

NPI number1841774668
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESSeptember 18, 2018

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