| Coghlan Orthodontics | |
|
2911 E Covenanter Dr Bloomington IN 47401-6320 | |
| (812) 332-9269 | |
| (812) 335-9052 |
| Full Name | Coghlan Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2911 E Covenanter Dr, Bloomington, Indiana |
| Authorized Official Name and Position | Paula Dyer (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8123329269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coghlan Orthodontics 2911 E Covenanter Dr Bloomington IN 47401-6320 Ph: (812) 332-9269 | Coghlan Orthodontics 2911 E Covenanter Dr Bloomington IN 47401-6320 Ph: (812) 332-9269 |
| NPI Number | 1518082643 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518082643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12008895A (Indiana) | Primary |
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