| Southern Indiana Smiles | |
|
457 S Landmark Ave Bloomington IN 47403-5004 | |
| (812) 336-2459 | |
| (812) 336-2480 |
| Full Name | Southern Indiana Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 457 S Landmark Ave, Bloomington, Indiana |
| Authorized Official Name and Position | Jennifer Hoelscher (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Indiana Smiles 457 S Landmark Ave Bloomington IN 47403-5004 Ph: (812) 336-2459 | Southern Indiana Smiles 457 S Landmark Ave Bloomington IN 47403-5004 Ph: (812) 336-2459 |
| NPI Number | 1235401753 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235401753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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