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Bloomington Oral Surgery Llc
Oral and Maxillofacial Surgery (Dentist) in Bloomington, Indiana
NPI 1841505252

Bloomington Oral Surgery Llc is a Oral and Maxillofacial Surgery (Dentist) based in Bloomington, IN and is specialized in Oral and Maxillofacial Surgery. Bloomington Oral Surgery Llc practices in Bloomington, IN. The NPI Number for Bloomington Oral Surgery Llc is 1841505252 and holds a License No. 0652A (Indiana).

The current practice location address for Bloomington Oral Surgery Llc is 857 S Auto Mall Rd, Bloomington, IN and can be reached out via phone at 812-332-2204 and via fax at 821-332-9095.

Location: 857 S Auto Mall Rd, Bloomington, IN, 47401-5447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841505252
Provider Name
Bloomington Oral Surgery Llc
Credential
Provider Entity Type
Organization
Address
857 S Auto Mall Rd, Bloomington, IN, 47401-5447
Phone Number
812-332-2204
Fax Number
821-332-9095
Provider Enumeration Date
08/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200809540A 05 IN
institution
Provider Business Practice Location Address Details
Address
857 S Auto Mall Rd
City
Bloomington
State
Indiana
Zip
47401-5447
Phone Number
812-332-2204
Fax Number
821-332-9095
person
Provider Business Mailing Address Details
Address
857 S Auto Mall Rd
City
Bloomington
State
Indiana
Zip
47401-5447
Phone Number
812-332-2204
Fax Number
821-332-9095
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
0652A (Indiana)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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