Provider Demographics
NPI:1215366968
Name:BLOOMFIELD, SHERRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:
Last Name:BLOOMFIELD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VIA LODERINGO DEGLI ANDALO
Mailing Address - Street 2:
Mailing Address - City:BOLOGNA
Mailing Address - State:BOLOGNA
Mailing Address - Zip Code:40124
Mailing Address - Country:IT
Mailing Address - Phone:508-997-1766
Mailing Address - Fax:508-996-4558
Practice Address - Street 1:1155 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6634
Practice Address - Country:US
Practice Address - Phone:508-991-7166
Practice Address - Fax:508-996-4558
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN202231223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics