OrganizationActive
Bloomington Oral Surgery
NPI 1891350575 · Oral and Maxillofacial Surgery (Dentist) · Bloomington, IN
Provider details
- NPI number
- 1891350575
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Timothy Devitt, Owner/Oral Surgeon(812) 332-2204
Specialties & taxonomies
Dental Providers
Practice location
1116 S College Mall Rd
Bloomington, IN 47401-6178
Phone: (812) 332-2204
Fax: (812) 332-9095
Approximate (ZIP-level) locationGet directions
Mailing address
1116 S College Mall Rd
Bloomington, IN 47401-6178
Registry dates
- Enumerated
- 2019-05-07
- Last updated
- 2019-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.