Bloomington Oral Surgery Llc is a Oral and Maxillofacial Dental Clinic in Bloomington, Indiana. It is located at 857 S Auto Mall Rd, Bloomington, IN and its contact number is 812-332-2204. The authorized person for Bloomington Oral Surgery Llc is Timothy Devitt
who is Owner of the clinic and their contact number is 812-332-2204. The primary license number for Bloomington Oral Surgery Llc is 0652A (Oral and Maxillofacial Surgery) in Indiana. Bloomington Oral Surgery Llc 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 Llc 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 Llc
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
857 S Auto Mall Rd, Bloomington, Indiana, 47401-5447
Phone:
812-332-2204
Fax:
821-332-9095
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 Devitt
Position:
Owner
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 Llc clinic are as mentioned below.
NPI Number:
1841505252
NPI Enumeration Date:
10 Aug, 2010
NPI Last Update On:
10 Aug, 2010
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 Llc are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
0652A
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
200809540A
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 Llc 857 S Auto Mall Rd, Bloomington, Indiana
Zip:
47401-5447
Phone Number:
812-332-2204
Fax Number:
821-332-9095
Patients can reach Bloomington Oral Surgery Llc at 857 S Auto 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 10 March, 2025.