| Bloomfield Family Dental Llc | |
|
200 E Main St Ste 3 Bloomfield IN 47424-1452 | |
| (812) 384-3736 | |
| Not Available |
| Full Name | Bloomfield Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 E Main St Ste 3, Bloomfield, Indiana |
| Authorized Official Name and Position | Philip James Mirise (DENTIST) |
| Authorized Official Contact | 3176706026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomfield Family Dental Llc 3325 W County Road 100 N Bargersville IN 46106-9582 Ph: (317) 670-6026 | Bloomfield Family Dental Llc 200 E Main St Ste 3 Bloomfield IN 47424-1452 Ph: (812) 384-3736 |
| NPI Number | 1275389181 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275389181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Munden Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 E Indiana Ave, Bloomfield, IN 47424 Phone: 812-384-4191 Fax: 812-384-4191 | |
Rb Munden, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 E Indiana Ave, Bloomfield, IN 47424 Phone: 812-384-4191 |