Dermatology, Pediatric Dermatology
DERMATOLOGY CENTER FOR CHILDREN & YOUNG ADULTS PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1053417055 · enumerated 2006-09-16 · record updated 2008-04-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KENNETH BLOOM MD, President · (651) 379-9999
Addresses and phones
- Mailing address 2795 PILOT KNOB RD, SUITE 300, EAGAN, MN, 55121-1176 (651) 379-9999 Fax (651) 379-9900 Google Maps Apple Maps OpenStreetMap
- Practice location 2795 PILOT KNOB RD, SUITE 300, EAGAN, MN, 55121-1176 (651) 379-9999 Fax (651) 379-9900 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology, Pediatric Dermatology 207NP0225X · Primary
In this directory
Locations and evidence
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Practice location
EAGAN, MN, 551211176
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.