| Bbb - Bloomington | |
|
905 S College Mall Rd Bloomington IN 47401-6302 | |
| (812) 336-2448 | |
| (812) 336-3112 |
| Full Name | Bbb - Bloomington |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 905 S College Mall Rd, Bloomington, Indiana |
| Authorized Official Name and Position | Stephen James (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bbb - Bloomington Po Box 437169 Louisville KY 40253-7169 | Bbb - Bloomington 905 S College Mall Rd Bloomington IN 47401-6302 Ph: (812) 336-2448 |
| NPI Number | 1992290746 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992290746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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