| Lk Dental, Llc | |
|
330 N Jacob Dr Bloomington IN 47404-4823 | |
| (812) 323-7400 | |
| (812) 323-7595 |
| Full Name | Lk Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 N Jacob Dr, Bloomington, Indiana |
| Authorized Official Name and Position | Michelle Jacomino-barnes (DIRECTOR CREDENTIALING & ERNOLLMENT) |
| Authorized Official Contact | 8002773633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lk Dental, Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Lk Dental, Llc 330 N Jacob Dr Bloomington IN 47404-4823 Ph: (812) 323-7400 |
| NPI Number | 1902656556 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902656556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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