Bloomington Southside Dental Care. Llc

LBN: Bloomington Southside Dental Care. Llc
Bloomington Southside Dental Care. Llc is an health care organization with primary practice located at 191 W Gordon Pike , Bloomington IN 47403-4518. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bloomington Southside Dental Care. Llc can be contacted via phone (812) 824-4444, or through Reitmeyer, Jill Rene via phone (812) 824-4444.

Contact Information

Primary practice address
191 W Gordon Pike Bloomington IN 47403-4518
Phone: (812) 824-4444
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reitmeyer, Jill Rene Doctor of Dental Surgery (DDS)
Phone: (812) 824-4444

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1437890290
LBN Legal business name Bloomington Southside Dental Care. Llc
DBA Doing business as
Authorized official Reitmeyer, Jill Rene Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2022
Last updated Apr 5th, 2022 - about 3 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 1437890290 NPPES
Indiana Other 1114439189 NAREY NPI
Indiana Other 1720370059 NAREY NPI

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