| Create-a-smile, Pc | |
|
2815 N Walnut St Bloomington IN 47404-2077 | |
| (812) 332-1405 | |
| (812) 332-4331 |
| Full Name | Create-a-smile, Pc |
|---|---|
| Speciality | Dentist |
| Location | 2815 N Walnut St, Bloomington, Indiana |
| Authorized Official Name and Position | Shannon Kenneth Moore (OWNER) |
| Authorized Official Contact | 8123321405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create-a-smile, Pc 2815 N Walnut St Bloomington IN 47404-2077 Ph: (812) 332-1405 | Create-a-smile, Pc 2815 N Walnut St Bloomington IN 47404-2077 Ph: (812) 332-1405 |
| NPI Number | 1588995229 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588995229 | NPI | - | NPPES |
| 200326230 | Medicaid | IN | |
| 1194855205 | Other | IN | NPI |
Nick Weiss Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 E Carowinds Ct, Bloomington, IN 47401 Phone: 262-227-1348 | |
Woodscrest Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 S Woodscrest Dr, Bloomington, IN 47401 Phone: 812-332-0866 | |
Jackson Creek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 S College Mall Rd, Bloomington, IN 47401 Phone: 812-336-5525 Fax: 812-322-5520 | |
Bloomington Gentle Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 W 2nd St, Bloomington, IN 47403 Phone: 812-339-1671 Fax: 812-337-1231 | |
Cs Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 N Jacob Dr, Bloomington, IN 47404 Phone: 812-323-7400 Fax: 812-323-7595 | |
Affordable Dentures & Implants - Bloomington Iv, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 W Industrial Blvd, Bloomington, IN 47403 Phone: 812-339-9899 | |
Southern Indiana Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 457 S Landmark Ave, Bloomington, IN 47403 Phone: 812-336-2459 Fax: 812-336-2480 |