BLOOMINGTON ORAL SURGERY 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 NPI is 1891350575. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1116 S COLLEGE MALL RD
BLOOMINGTON, IN
ZIP 47401-178
Phone: (812) 332-2204
Fax: (812) 332-9095
The provider's authorized official is Timothy Jacob Devitt .
The authorized official title is Owner/oral Surgeon and has the following contact phone number (812) 332-2204.
The enumeration date for this NPI number is 5/7/2019 and was last updated on 5/7/2019.