Aaron Forsythe Bloom, DDS
Individual provider Active NPI Pediatric Dentistry · Murrells Inlet, SC
NPI 1265697387 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1265697387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 937 (SC)
- Practice address
- 4410 Highway 17 Unit B6
Murrells Inlet, SC 29576-6434 - Phone
- (304) 419-0188
- NPI assigned
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8879 | SC | MD | Clinical Social Worker |
| 3833 | WV | MD | General Practice Dentistry |
| 937 | SC | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3833 | WV | |
| Pediatric Dentistry |
1223P0221X | 937 | SC | Yes |
| General Practice Dentistry | 1223G0001X | 8879 | SC |
Addresses
Primary practice location
4410 Highway 17 Unit B6
Murrells Inlet, SC 29576-6434
Mailing address
4410 Highway 17 Unit B6
Murrells Inlet, SC 29576-6434
Other practice location 1
1021 Quarrier St
Suite 517 Medical Arts Bldg
Charleston, WV 25301-2338
Phone (304) 345-7272
Other providers in Murrells Inlet, SC
- Bio-Medical Applications of South Carolina, Inc.
- Richard Michael Birch Jr.
- Karen M Bispo
- Sara H Black
- Brian K Blair
- Michael N Bohan
- Jonathan Boland
- Chloe Urig Bond
- Alexis Lain Borgestad
- Peggy Bourguillon
All providers in Murrells Inlet, SC · Pediatric Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.