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Bloom Endo, LLC

Endodontics in Summerville, SC · enumerated 2023 · authorized official Timothy Gibson, Endodontist/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679342042

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Registry record

Entity type Organization (Type 2)
Legal business name Bloom Endo, LLC
Other name <Unavail>
Practice address 617 Myers Rd Ste B, Summerville, SC, 29486
Phone (843) 647-6052
Enumeration date Dec 27, 2023
Last updated in NPPES Feb 13, 2024

Taxonomy & classification

1223E0200X Endodontics Dental Providers Primary

Authorized official

Name Timothy Gibson
Title Endodontist/Owner
Phone (843) 647-6052

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bloom Endo, LLC?
The NPI for Bloom Endo, LLC is 1679342042, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bloom Endo, LLC?
NPPES lists Timothy Gibson (Endodontist/Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-13.