Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093884462 Individual Practitioner Male Practitioner

Dr. Jonathan A Bloom , DDS

Dentist - General Practice • South Burlington, VT

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Bloom, DDS is a registered healthcare professional specializing in Dentist - General Practice in South Burlington, VT. Practice services are available at 118 TILLEY DR STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

118 Tilley Dr Ste 101

South Burlington, VT 054034450

Telephone 8028633950
Fax 8028633601
Associated Practice Facility / Clinic
🏢 Green Mountain Dental, Plc Facility NPI 1811404619

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in South Burlington, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
30 Specialists

Practicing in South Burlington, VT (279 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VT 2268

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1316147838

Doctor of Dental Medicine

NPI 1437564580

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2012

Registered at 118 TILLEY DR STE 101, SOUTH BURLINGTON, VT 054034450 (Tel: 8028633950)

📍
Updated Business Mailing Address May 16, 2012

Registered at 120 NICKLAUS CIR, SOUTH BURLINGTON, VT 054038015 (Tel: 8024970814)

👤
Provider Name / Credentials Updated May 16, 2012

Recorded as JONATHAN BLOOM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Dentist (License #2268 in VT)

🟢
Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093884462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: May 16, 2012
Sole Proprietor: Yes

Mailing Address

120 Nicklaus Cir

South Burlington, VT 054038015

Phone: 8024970814

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.