Organization · Type 2 NPI

Jackson Creek Dental

Dentist · Bloomington, IN

NPI number 1114362803 Active

Practice location

1124 S College Mall Rd
Bloomington, IN 47401-6178

Fax (812) 322-5520

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X12010765A (IN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1114362803

Jackson Creek Dental's National Provider Identifier is 1114362803, issued on May 8, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bloomington, IN. The record was last updated on May 8, 2013.