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

Larry Dean Bloom, DDS

Individual provider Pediatric Dentistry · NPI 1467716167

Larry Dean Bloom, DDS is a Pediatric Dentistry in Hudson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
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

131 Carmichael Rd Ste 200
Hudson, WI 54016-8271
Phone: (855) 527-3848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 6844-15 (WI)

Record details

NPI number1467716167
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESJune 28, 2012

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