| Bloomington Southside Dental Care. Llc | |
|
191 W Gordon Pike Bloomington IN 47403-4518 | |
| (812) 824-4444 | |
| Not Available |
| Full Name | Bloomington Southside Dental Care. Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 191 W Gordon Pike, Bloomington, Indiana |
| Authorized Official Name and Position | Jill Rene Reitmeyer (OWNER) |
| Authorized Official Contact | 8128244444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Southside Dental Care. Llc 191 W Gordon Pike Bloomington IN 47403-4518 Ph: (812) 824-4444 | Bloomington Southside Dental Care. Llc 191 W Gordon Pike Bloomington IN 47403-4518 Ph: (812) 824-4444 |
| NPI Number | 1437890290 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437890290 | NPI | - | NPPES |
| 1114439189 | Other | IN | NAREY NPI |
| 1720370059 | Other | IN | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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