Bloomington Pediatric Dentistry L.L.C.

LBN: Bloomington Pediatric Dentistry L.L.C.
Bloomington Pediatric Dentistry L.L.C. is an health care organization with primary practice located at 477 S Landmark Ave , Bloomington IN 47403-5005. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Bloomington Pediatric Dentistry L.L.C. can be contacted via phone (812) 355-0855, or through Taylor, Kyle via phone (812) 355-0855.

Contact Information

Primary practice address
477 S Landmark Ave Bloomington IN 47403-5005
Phone: (812) 355-0855
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kyle
Phone: (812) 355-0855

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12010198 Indiana

Profile Details

NPI number 1780850628
LBN Legal business name Bloomington Pediatric Dentistry L.L.C.
DBA Doing business as
Authorized official Taylor, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780850628 NPPES
Indiana MEDICAID 200338620A

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