| Periodontal Associates Of Bloomington | |
|
230 N Morton St Bloomington IN 47404-3964 | |
| (812) 323-7000 | |
| Not Available |
| Full Name | Periodontal Associates Of Bloomington |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 230 N Morton St, Bloomington, Indiana |
| Authorized Official Name and Position | Jonathan Villanueva (OPERATIONS MANAGER) |
| Authorized Official Contact | 6305321063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Associates Of Bloomington 230 N Morton St Bloomington IN 47404-3964 Ph: () - | Periodontal Associates Of Bloomington 230 N Morton St Bloomington IN 47404-3964 Ph: (812) 323-7000 |
| NPI Number | 1386527059 |
|---|---|
| Provider Enumeration Date | 07/29/2025 |
| Last Update Date | 07/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386527059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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