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Bloomington Oral Surgery LLC — NPI 1841505252, Bloomington, IN | NPI Central

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NPI 1841505252

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Bloomington Oral Surgery LLC

NPI 1841505252 · Oral and Maxillofacial Surgery (Dentist) · Bloomington, IN

Provider details

NPI number: 1841505252
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Organization subpart: No
Authorized official: Timothy Devitt, Owner(812) 332-2204
License: 0652A (IN)

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112XLicense 0652A (IN)
Dental Providers

Practice location

857 S Auto Mall Rd

Bloomington, IN 47401-5447

Phone: (812) 332-2204

Fax: (821) 332-9095

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

857 S Auto Mall Rd

Bloomington, IN 47401-5447

Other names (DBA / former)

Doing business as: Timothy J Devitt, DMD

Registry dates

Enumerated: 2010-08-10
Last updated: 2010-08-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.