Organization · Type 2 NPI

Bloomington Oral Surgery

Oral and Maxillofacial Surgery (Dentist) · Bloomington, IN

NPI number 1891350575 Active

Practice location

1116 S College Mall Rd
Bloomington, IN 47401-6178

Fax (812) 332-9095

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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.

Another provider at this address

Other oral and maxillofacial surgery (dentist) providers in Bloomington

See all in Bloomington →

About NPI 1891350575

Bloomington Oral Surgery's National Provider Identifier is 1891350575, issued on May 7, 2019. 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 May 7, 2019.