Bloomington 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.