Organization · Type 2 NPI
Southern Indiana Pediatric Dentistry, LLC
Pediatric Dentistry · Bloomington, IN
NPI number
1356634471
Active
Practice location
828 S Auto Mall Rd
Bloomington, IN 47401-5430
Fax (812) 333-6305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 12011284A (IN) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Bloomington
About NPI 1356634471
Southern Indiana Pediatric Dentistry, LLC's National Provider Identifier is 1356634471, issued on May 23, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bloomington, IN. The record was last updated on Nov 22, 2011.