| K Luke Eades DDS PC | |
|
2810 S Walnut Street Pike Bloomington IN 47401-8403 | |
| (812) 336-2688 | |
| (812) 336-1090 |
| Full Name | K Luke Eades DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2810 S Walnut Street Pike, Bloomington, Indiana |
| Authorized Official Name and Position | Kenneth Luke Eades (PRESIDENT) |
| Authorized Official Contact | 8123362688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K Luke Eades DDS PC 2810 S Walnut Street Pike Bloomington IN 47401-8403 Ph: (812) 336-2688 | K Luke Eades DDS PC 2810 S Walnut Street Pike Bloomington IN 47401-8403 Ph: (812) 336-2688 |
| NPI Number | 1962670034 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962670034 | NPI | - | NPPES |
| 54000865 | Other | IN | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54000865 (Indiana) | Primary |
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