| Bloom Endodontics | |
|
617 Myers Rd Ste B Summerville SC 29486-8902 | |
| (843) 647-6052 | |
| Not Available |
| Full Name | Bloom Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 617 Myers Rd Ste B, Summerville, South Carolina |
| Authorized Official Name and Position | Timothy Curtis Gibson (ENDODONTIST/OWNER) |
| Authorized Official Contact | 8436476052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Endodontics 617 Myers Rd Ste B Summerville SC 29486-8902 Ph: (843) 647-6052 | Bloom Endodontics 617 Myers Rd Ste B Summerville SC 29486-8902 Ph: (843) 647-6052 |
| NPI Number | 1679342042 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679342042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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