OrganizationActive
Jackson Creek Dental
NPI 1114362803 · Dentist · Bloomington, IN
Jackson Creek Dental is a Dentist organization in Bloomington, IN (NPI 1114362803).
Provider details
- NPI number
- 1114362803
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Tschetter, Dentist(812) 336-5525
- License
- 12010765A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1124 S College Mall Rd
Bloomington, IN 47401-6178
Phone: (812) 336-5525
Fax: (812) 322-5520
Street-level locationGet directions
Mailing address
1124 S College Mall Rd
Bloomington, IN 47401-6178
Registry dates
- Enumerated
- 2013-05-08
- Last updated
- 2013-05-08
Frequently asked questions
- What is Jackson Creek Dental's NPI number?
- Jackson Creek Dental's National Provider Identifier (NPI) is 1114362803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Creek Dental?
- Jackson Creek Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Jackson Creek Dental located?
- Jackson Creek Dental's practice location on file with NPPES is 1124 S College Mall Rd, Bloomington, IN 47401-6178.
- What is Jackson Creek Dental's phone number?
- The practice phone number listed in the NPPES registry for Jackson Creek Dental is (812) 336-5525.
- Who is the authorized official for Jackson Creek Dental?
- The authorized official listed on Jackson Creek Dental's NPPES record is Ryan Tschetter, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Creek Dental's NPI active?
- Yes — Jackson Creek Dental's NPI (1114362803) is active in the NPPES registry as of the last update on 2013-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.