| Woodscrest Dental | |
|
515 S Woodscrest Dr Bloomington IN 47401-5524 | |
| (812) 332-0866 | |
| Not Available |
| Full Name | Woodscrest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 S Woodscrest Dr, Bloomington, Indiana |
| Authorized Official Name and Position | Lisa Marie Meadows (BUSINESS MANAGER) |
| Authorized Official Contact | 8123320866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodscrest Dental 515 S Woodscrest Dr Bloomington IN 47401-5524 Ph: (812) 332-0866 | Woodscrest Dental 515 S Woodscrest Dr Bloomington IN 47401-5524 Ph: (812) 332-0866 |
| NPI Number | 1114016201 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114016201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010415 (Indiana) | Primary |
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