Bloomington Pediatric Dentistry L.l.c. is a Pediatric Dental Clinic in Bloomington, Indiana. It is located at 477 S Landmark Ave, Bloomington, IN and its contact number is 812-355-0855. The authorized person for Bloomington Pediatric Dentistry L.l.c. is Kyle Taylor
who is Owner of the clinic and their contact number is 812-355-0855. The primary license number for Bloomington Pediatric Dentistry L.l.c. is 12010198 (Pediatric Dentistry) in Indiana. Bloomington Pediatric Dentistry L.l.c. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Bloomington Pediatric Dentistry L.l.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Bloomington Pediatric Dentistry L.l.c.
Specialization:
Pediatric Dentistry
Clinic Address:
477 S Landmark Ave, Bloomington, Indiana, 47403-5005
Phone:
812-355-0855
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:
Kyle Taylor
Position:
Owner
Contact Number:
812-355-0855
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 Pediatric Dentistry L.l.c. clinic are as mentioned below.
NPI Number:
1780850628
NPI Enumeration Date:
01 May, 2008
NPI Last Update On:
01 May, 2008
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 Pediatric Dentistry L.l.c. are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
12010198
Indiana
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
200338620A
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 Pediatric Dentistry L.l.c. 477 S Landmark Ave, Bloomington, Indiana
Zip:
47403-5005
Phone Number:
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Patients can reach Bloomington Pediatric Dentistry L.l.c. at 477 S Landmark Ave, Bloomington, Indiana or can call to book an appointment on 812-355-0855. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.