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Bloomington Pediatric Dentistry L.l.c.
Pediatric Dentist in Bloomington, Indiana
NPI 1780850628

Bloomington Pediatric Dentistry L.l.c. is a Pediatric Dentist based in Bloomington, IN and is specialized in Pediatric Dentistry. Bloomington Pediatric Dentistry L.l.c. practices in Bloomington, IN. The NPI Number for Bloomington Pediatric Dentistry L.l.c. is 1780850628 and holds a License No. 12010198 (Indiana).

The current practice location address for Bloomington Pediatric Dentistry L.l.c. is 477 S Landmark Ave, Bloomington, IN and can be reached out via phone at 812-355-0855.

Location: 477 S Landmark Ave, Bloomington, IN, 47403-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780850628
Provider Name
Bloomington Pediatric Dentistry L.l.c.
Credential
Provider Entity Type
Organization
Address
477 S Landmark Ave, Bloomington, IN, 47403-5005
Phone Number
812-355-0855
Fax Number
Provider Enumeration Date
05/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200338620A 05 IN
institution
Provider Business Practice Location Address Details
Address
477 S Landmark Ave
City
Bloomington
State
Indiana
Zip
47403-5005
Phone Number
812-355-0855
Fax Number
person
Provider Business Mailing Address Details
Address
477 S Landmark Ave
City
Bloomington
State
Indiana
Zip
47403-5005
Phone Number
812-355-0855
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12010198 (Indiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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