| Bloomington Dental Group | |
|
1600 W Bloomfield Rd Bloomington IN 47403-2054 | |
| (812) 323-1530 | |
| Not Available |
| Full Name | Bloomington Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 W Bloomfield Rd, Bloomington, Indiana |
| Authorized Official Name and Position | Ryan D Tschetter (DENTIST) |
| Authorized Official Contact | 8123231530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Dental Group 1600 W Bloomfield Rd Bloomington IN 47403-2054 Ph: (812) 323-1530 | Bloomington Dental Group 1600 W Bloomfield Rd Bloomington IN 47403-2054 Ph: (812) 323-1530 |
| NPI Number | 1770535916 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770535916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010765 (Indiana) | Primary |
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