OrganizationActive
Bloomington Pediatric Dentistry L.L.C.
NPI 1780850628 · Pediatric Dentistry · Bloomington, IN
Provider details
- NPI number
- 1780850628
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kyle Taylor, Owner(812) 355-0855
- License
- 12010198 (IN)
Specialties & taxonomies
Dental Providers
Practice location
477 S Landmark Ave
Bloomington, IN 47403-5005
Phone: (812) 355-0855
Approximate (ZIP-level) locationGet directions
Mailing address
477 S Landmark Ave
Bloomington, IN 47403-5005
Registry dates
- Enumerated
- 2008-05-01
- Last updated
- 2008-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.