Individual provider · Type 1 NPI

Matthew Lawrence Rasche, D.D.S. M.S.D.

Pediatric Dentistry · Bloomington, IN

NPI number 1619102647 Active

Practice location

828 S Auto Mall Rd
Bloomington, IN 47401-5430

Fax (812) 333-6305

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X12011284A (IN)
Pediatric Dentistry Primary 1223P0221X12011284A (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

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About NPI 1619102647

Matthew Lawrence Rasche, D.D.S. M.S.D.'s National Provider Identifier is 1619102647, issued on May 20, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bloomington, IN. The record was last updated on Jul 13, 2011.