Jackson Creek Dental

LBN: Jackson Creek Dental
Jackson Creek Dental is an health care organization with primary practice located at 1124 S College Mall Rd , Bloomington IN 47401. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jackson Creek Dental can be contacted via phone (812) 336-5525, or through Tschettei, Ryan David via phone (812) 336-5525.

Contact Information

Primary practice address
1124 S College Mall Rd Bloomington IN 47401
Phone: (812) 336-5525
Fax: (812) 332-5520
Website:
Map and Directions
Authorized official contact:
Name: Tschettei, Ryan David Doctor of Dental Surgery (DDS)
Phone: (812) 336-5525

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12010765 Indiana
Dental Providers / General Practice 1223G0001X 12010729 Indiana

Profile Details

NPI number 1295062339
LBN Legal business name Jackson Creek Dental
DBA Doing business as
Authorized official Tschettei, Ryan David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2009
Last updated May 17th, 2018 - about 7 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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