K LUKE EADES DDS PC NPI 1962670034

NPI Information

K LUKE EADES DDS PC is a general practice dentist in Bloomington, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. K LUKE EADES DDS PC NPI is 1962670034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2810 S WALNUT STREET PIKE
BLOOMINGTON, IN
ZIP 47401-403
Phone: (812) 336-2688
Fax: (812) 336-1090

The provider's authorized official is Kenneth Luke Eades .
The authorized official title is President and has the following contact phone number (812) 336-2688.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 2/18/2015.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.