NPI 1093740433 · live from the CMS NPI Registry
John Kevin Coghlan, D.D.S, M.S.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Bloomington, IN. National Provider Identifier 1093740433, active.
NPI record
| NPI | 1093740433 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2911 E Covenanter Dr, Bloomington, IN 47401 |
| Practice phone | 812-332-9296 |
| Enumerated | July 12, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12008895A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.