Organization · Type 2 NPI

Bloomington Oral Surgery LLC

Oral and Maxillofacial Surgery (Dentist) · Bloomington, IN

NPI number 1841505252 Active

Practice location

857 S Auto Mall Rd
Bloomington, IN 47401-5447

Fax (821) 332-9095

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0652A (IN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4 other providers at this address

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About NPI 1841505252

Bloomington Oral Surgery LLC's National Provider Identifier is 1841505252, issued on Aug 10, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bloomington, IN. The record was last updated on Aug 10, 2010.