Bloomington Gentle Dentist | |
1121 W 2nd St Bloomington IN 47403-2160 | |
(812) 339-1671 | |
(812) 337-1231 |
Full Name | Bloomington Gentle Dentist |
---|---|
Speciality | Dentist - General Practice |
Location | 1121 W 2nd St, Bloomington, Indiana |
Authorized Official Name and Position | Tim Hoagland (EXECUTIVE) |
Authorized Official Contact | 5024239111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bloomington Gentle Dentist 9505 Williamsburg Plz Ste 301 Louisville KY 40222-5090 Ph: () - | Bloomington Gentle Dentist 1121 W 2nd St Bloomington IN 47403-2160 Ph: (812) 339-1671 |
NPI Number | 1174693220 |
---|---|
Provider Enumeration Date | 11/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174693220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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