| Pritchard Jastremski Dental Assoc. Llc | |
|
1550 S Liberty Dr Bloomington IN 47403-5167 | |
| (812) 339-2811 | |
| (812) 961-0746 |
| Full Name | Pritchard Jastremski Dental Assoc. Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1550 S Liberty Dr, Bloomington, Indiana |
| Authorized Official Name and Position | Kelly Andrew Jastremski (OWNER MANAGER) |
| Authorized Official Contact | 8123392811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pritchard Jastremski Dental Assoc. Llc 1550 S Liberty Dr Bloomington IN 47403-5167 Ph: (812) 339-2811 | Pritchard Jastremski Dental Assoc. Llc 1550 S Liberty Dr Bloomington IN 47403-5167 Ph: (812) 339-2811 |
| NPI Number | 1639291958 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639291958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009671 (Indiana) | Primary |
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