NPI 1992290746 · live from the CMS NPI Registry
Bbb Of In, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Bloomington, IN. National Provider Identifier 1992290746, active.
NPI record
| NPI | 1992290746 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 905 S College Mall Rd, Bloomington, IN 47401 |
| Practice phone | 812-336-2448 |
| Mailing address | Po Box 437169, Louisville, KY 40253 |
| Enumerated | June 25, 2018 |
| Last updated | June 25, 2018 |
| Authorized official | Stephen James, Cfo |
| Other names | Bbb - Bloomington |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.