OrganizationActive
Bloomfield Family Dental LLC
NPI 1275389181 · Dental Clinic/Center · Bloomfield, IN
Provider details
- NPI number
- 1275389181
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philip Mirise, Dentist(317) 670-6026
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
200 E Main St Ste 3
Bloomfield, IN 47424-1452
Phone: (812) 384-3736
Approximate (ZIP-level) locationGet directions
Mailing address
3325 W County Road 100 N
Bargersville, IN 46106-9582
Registry dates
- Enumerated
- 2024-04-30
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.