Bloomington Pediatric Dentistry L.L.C. in Bloomington - Pediatric Dentistry
Bloomington Pediatric Dentistry L.L.C. - NPI 1780850628
Bloomington Pediatric Dentistry L.L.C. is a Pediatric Dentistry in Bloomington, Indiana. Bloomington Pediatric Dentistry L.L.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Bloomington Pediatric Dentistry L.L.C. is 1780850628. The last update date is 2008-05-01.
Bloomington Pediatric Dentistry L.L.C.'s current location address is 477 S Landmark Ave, Bloomington, Indiana. You can contact this provider via phone number 8123550855. The mailing address for Bloomington Pediatric Dentistry L.L.C. is 477 S Landmark Ave, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bloomington Pediatric Dentistry L.L.C. |
|---|---|
| Address | 477 S Landmark Ave, Bloomington, Indiana |
| Phone Number | 8123550855 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Taylor Kyle |
| Telephone Number | 8123550855 |
NPI Number Detail
| NPI Number | 1780850628 |
|---|---|
| Provider Enumeration Date | 2008-05-01 |
| Last Updated Date | 2008-05-01 |
Provider Mailing Address Detail
| Address | 477 S Landmark Ave |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474035005 |
| Phone Number | 8123550855 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12010198 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200338620A | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bloomington Pediatric Dentistry L.L.C. by the Centers for Medicare & Medicaid Services?
The Bloomington Pediatric Dentistry L.L.C. has been issued the NPI (National Provider Identifier) 1780850628. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bloomington Pediatric Dentistry L.L.C. located?
The Bloomington Pediatric Dentistry L.L.C. is located at 477 S Landmark Ave, Bloomington, IN 474035005.
What is Bloomington Pediatric Dentistry L.L.C.'s area of expertise and its corresponding taxonomy classification?
The Bloomington Pediatric Dentistry L.L.C.'s field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Bloomington Pediatric Dentistry L.L.C. receive the assignment of its 1780850628 from the Centers for Medicare & Medicaid Services?
The Bloomington Pediatric Dentistry L.L.C. was issued its 1780850628 by the Centers for Medicare & Medicaid Services on 2008-05-01.
When was the information regarding Bloomington Pediatric Dentistry L.L.C. most recently updated?
The details pertaining to the Bloomington Pediatric Dentistry L.L.C., including its address, specialty, and other relevant information, were last refreshed on 2008-05-01.
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