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
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 12011284A (IN) |
| 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
- Kyle Wayne Taylor, DDSPediatric Dentistry Bloomington, IN NPI 1336156850
- Robert Frederick Rimstidt, DDSPediatric Dentistry Bloomington, IN NPI 1376669937
- Tamara Lynn Gierke, DDSPediatric Dentistry Bloomington, IN NPI 1447450879
- Devin Brant Shone, DDSPediatric Dentistry Bloomington, IN NPI 1740628619
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.