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Bloomington Southside Dental Care. Llc
General Practice Dentistry in Bloomington, Indiana
NPI 1437890290

Bloomington Southside Dental Care. Llc is a General Practice Dentistry based in Bloomington, IN and is specialized in General Practice. Bloomington Southside Dental Care. Llc practices in Bloomington, IN. The NPI Number for Bloomington Southside Dental Care. Llc is 1437890290 and holds a License No. (Indiana).

The current practice location address for Bloomington Southside Dental Care. Llc is 191 W Gordon Pike, Bloomington, IN and can be reached out via phone at 812-824-4444.

Location: 191 W Gordon Pike, Bloomington, IN, 47403-4518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437890290
Provider Name
Bloomington Southside Dental Care. Llc
Credential
Provider Entity Type
Organization
Address
191 W Gordon Pike, Bloomington, IN, 47403-4518
Phone Number
812-824-4444
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114439189 01 IN NAREY NPI
1720370059 01 IN PERSONAL NPI
institution
Provider Business Practice Location Address Details
Address
191 W Gordon Pike
City
Bloomington
State
Indiana
Zip
47403-4518
Phone Number
812-824-4444
Fax Number
person
Provider Business Mailing Address Details
Address
191 W Gordon Pike
City
Bloomington
State
Indiana
Zip
47403-4518
Phone Number
812-824-4444
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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