BLOOMINGTON PEDIATRIC DENTISTRY L.L.C. NPI 1780850628

NPI Information

BLOOMINGTON PEDIATRIC DENTISTRY L.L.C. is a pediatric dentistry dentist in Bloomington, IN. The provider is 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. BLOOMINGTON PEDIATRIC DENTISTRY L.L.C. NPI is 1780850628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

477 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403-005
Phone: (812) 355-0855

The provider's authorized official is Kyle Taylor .
The authorized official title is Owner and has the following contact phone number (812) 355-0855.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 5/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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