Todd Whitlock, Dds, Llc | |
3671 S Sare Rd Bloomington IN 47401-4173 | |
(812) 332-0052 | |
(812) 332-0128 |
Full Name | Todd Whitlock, Dds, Llc |
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Speciality | Dentist - General Practice |
Location | 3671 S Sare Rd, Bloomington, Indiana |
Authorized Official Name and Position | Todd Mitchell Whitlock (PRESIDENT) |
Authorized Official Contact | 8123320052 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Todd Whitlock, Dds, Llc 3671 S Sare Rd Bloomington IN 47401-4173 Ph: (812) 332-0052 | Todd Whitlock, Dds, Llc 3671 S Sare Rd Bloomington IN 47401-4173 Ph: (812) 332-0052 |
NPI Number | 1881843613 |
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Provider Enumeration Date | 09/17/2008 |
Last Update Date | 02/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881843613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12009170 (Indiana) | Primary |
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