| Bloomington Gentle Dentist | |
|
1121 W 2nd St Bloomington IN 47403-2160 | |
| (812) 339-1671 | |
| (812) 337-1231 |
| Full Name | Bloomington Gentle Dentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1121 W 2nd St, Bloomington, Indiana |
| Authorized Official Name and Position | Tim Hoagland (EXECUTIVE) |
| Authorized Official Contact | 5024239111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Gentle Dentist 9505 Williamsburg Plz Ste 301 Louisville KY 40222-5090 Ph: () - | Bloomington Gentle Dentist 1121 W 2nd St Bloomington IN 47403-2160 Ph: (812) 339-1671 |
| NPI Number | 1174693220 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174693220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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