|
| |
|
1602 W Third Street Bloomington IN 47404 | |
| (812) 339-7700 | |
| (812) 339-7794 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1602 W Third Street, Bloomington, Indiana |
| Authorized Official Name and Position | John T Patrick (PRESIDENT BOARD OF DIRECTORS) |
| Authorized Official Contact | 8123395015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1602 W Third Street Bloomington IN 47404 Ph: (812) 339-7700 | 1602 W Third Street Bloomington IN 47404 Ph: (812) 339-7700 |
| NPI Number | 1477765022 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477765022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10850A (Indiana) | Primary |
Nick Weiss Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 E Carowinds Ct, Bloomington, IN 47401 Phone: 262-227-1348 | |
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 | |
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 | |