Bloomington Oral Surgery
Oral and Maxillofacial Dental Clinic
1116 S College Mall Rd, Bloomington
Indiana, 47401-6178
812-332-2204 812-332-9095
Maps & DirectionsBloomington Oral Surgery is a Oral and Maxillofacial Dental Clinic in Bloomington, Indiana. It is located at 1116 S College Mall Rd, Bloomington, IN and its contact number is 812-332-2204. The authorized person for Bloomington Oral Surgery is Timothy Jacob Devitt
who is Owner/oral Surgeon of the clinic and their contact number is 812-332-2204.
Bloomington Oral Surgery Clinic deals with 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.
Complete Clinic Profile:
Bloomington Oral Surgery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Bloomington Oral Surgery |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 1116 S College Mall Rd, Bloomington,
Indiana, 47401-6178 |
| Phone: | 812-332-2204 |
| Fax: | 812-332-9095 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Timothy Jacob Devitt |
| Position: | Owner/oral Surgeon |
| Contact Number: | 812-332-2204 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bloomington Oral Surgery clinic are as mentioned below.
| NPI Number: | 1891350575 |
| NPI Enumeration Date: | 07 May, 2019 |
| NPI Last Update On: | 07 May, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bloomington Oral Surgery are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1164475323 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bloomington Oral Surgery
1116 S College Mall Rd,
Bloomington, Indiana |
| Zip: | 47401-6178 |
| Phone Number: | 812-332-2204 |
| Fax Number: | 812-332-9095 |
Patients can reach Bloomington Oral Surgery at
1116 S College Mall Rd, Bloomington, Indiana or can
call to book an appointment on 812-332-2204.
Comments/ Reviews:
Read all the reviews posted for Bloomington Oral Surgery below. You may also share your own experience with Bloomington Oral Surgery. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.