BLOOMINGTON ORAL SURGERY LLC NPI 1841505252

NPI Information

BLOOMINGTON ORAL SURGERY LLC is an oral and maxillofacial surgery dentist in Bloomington, IN. The provider is 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. BLOOMINGTON ORAL SURGERY LLC NPI is 1841505252. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Timothy J Devitt, Dmd.

The provider's business location address is:

857 S AUTO MALL RD
BLOOMINGTON, IN
ZIP 47401-447
Phone: (812) 332-2204
Fax: (821) 332-9095

The provider's authorized official is Timothy Devitt .
The authorized official title is Owner and has the following contact phone number (812) 332-2204.

The enumeration date for this NPI number is 8/10/2010 and was last updated on 8/10/2010.

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