DR. KELLY ANDREW JASTREMSKI DDS
NPI 1215059514
Dentist - General Practice in Bloomington, IN

Q: What is Kelly Jastremski's NPI number?

The NPI number for Kelly Jastremski is 1215059514. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Kelly Jastremski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Jastremski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 06, 2007

1550 S LIBERTY DR, BLOOMINGTON, IN 47403(812) 339-2811(812) 961-0746 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly Andrew Jastremski Dds NPPES

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

DR. KELLY ANDREW JASTREMSKI DDS (NPI 1215059514) is an individual general practice provider in Bloomington, Indiana, licensed in Indiana (12009671) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1215059514

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KELLY ANDREW JASTREMSKICredential: DDS

Location Address1550 S LIBERTY DRBloomington, IN 47403-5167

Mailing Address1550 S Liberty DrBloomington, IN 47403-5167 · (812) 339-2811 · Fax (812) 961-0746

Phone(812) 339-2811

Fax(812) 961-0746

Sole ProprietorNo

Enumeration DateApril 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1215059514 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 · 12009671

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.

1550 S LIBERTY DR, Bloomington, IN 47403

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Other Providers at the Same Location NPPES 4

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

ELIZABETH HUCK

Dentist

1550 S LIBERTY DR
BLOOMINGTON, IN 47403

Monroe County (812) 340-1365

DR. STEPHEN JAY PRITCHARD DDS

Dentist (General Practice)

1550 S LIBERTY DR
BLOOMINGTON, IN 47403

Monroe County (812) 339-2811

PRITCHARD JASTREMSKI DENTAL ASSOC. LLC

Dentist (General Practice)

1550 S LIBERTY DR
BLOOMINGTON, IN 47403

Monroe County (812) 339-2811

DR. GAVIN CHARLES ROTHROCK DDS

Dentist (General Practice)

1550 S LIBERTY DR
BLOOMINGTON, IN 47403

Monroe County (812) 339-2811

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 Kelly Jastremski's NPI number?

The NPI number for Kelly Jastremski is 1215059514. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Kelly Jastremski located?

Kelly Jastremski practices at 1550 S Liberty Dr, Bloomington, IN 47403. The listed phone number is (812) 339-2811.

What is Kelly Jastremski'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 Kelly Jastremski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.