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BEDFORD DENTAL CARE, PC
NPI 1093825135
Dentist - General Practice in Bedford, IN

Active since August 30, 2006
2906 EVERGREEN DR, BEDFORD, IN 47421(812) 279-6455(812) 279-0130 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bedford Dental Care, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEDFORD DENTAL CARE, PC (NPI 1093825135) is a healthcare organization registered as a general practice in Bedford, Indiana and active in the NPI registry since August 2006. The organization lists Courtney Jill Blackwell, V-president, as its authorized official.

NPPES Registry Identity

NPI1093825135
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBEDFORD DENTAL CARE, PC
Location Address2906 EVERGREEN DRBedford, IN 47421-5288
Mailing Address2906 Evergreen DrBedford, IN 47421-5288 · (812) 279-6455 · Fax (812) 279-0130
Phone(812) 279-6455
Fax(812) 279-0130
Organization SubpartNo
Authorized OfficialCourtney Jill BlackwellV-president · (812) 279-6455
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093825135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12010140
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2906 EVERGREEN DR, Bedford, IN 47421
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEILA K MISKUF RN
Dental Assistant
2906 EVERGREEN DR
BEDFORD, IN 47421
Lawrence County (812) 279-6455
MRS. REBECCA JOHNSON RDH
Dental Hygienist
2906 EVERGREEN DR
BEDFORD, IN 47421
Lawrence County (812) 279-6455
DR. COURTNEY JILL MISKUF DMD
Dentist (General Practice)
2906 EVERGREEN DR
BEDFORD, IN 47421
Lawrence County (812) 279-6455
KELLY LYNN ALLEN
Dental Assistant
2906 EVERGREEN DR
BEDFORD, IN 47421
Lawrence County (812) 279-6455
DR. MICHAEL DAVID MISKUF DDS
Dentist (General Practice)
2906 EVERGREEN DR
BEDFORD, IN 47421
Lawrence County (812) 279-6455
ELLA M HENDRIX CDA
Dental Assistant
2906 EVERGREEN DR
BEDFORD, IN 47421
Lawrence County (812) 279-6455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bedford Dental Care, PC's NPI number?

The NPI number for Bedford Dental Care, PC is 1093825135. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Bedford Dental Care, PC located?

Bedford Dental Care, PC is located at 2906 Evergreen Dr, Bedford, IN 47421. The listed phone number is (812) 279-6455.

What is Bedford Dental Care, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bedford Dental Care, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.