1. Home
  2. Directory
  3. Indiana
  4. Bloomfield
  5. Clinic Center
  6. NPI Profile

BLOOMFIELD FAMILY DENTAL LLC
NPI 1275389181
Clinic/Center - Dental in Bloomfield, IN

Active since April 30, 2024
200 E MAIN ST STE 3, BLOOMFIELD, IN 47424(812) 384-3736 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bloomfield Family Dental Llc NPPES

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

BLOOMFIELD FAMILY DENTAL LLC (NPI 1275389181) is a healthcare organization registered as a dental in Bloomfield, Indiana and active in the NPI registry since April 2024. The organization lists Philip James Mirise, Dentist, as its authorized official.

NPPES Registry Identity

NPI1275389181
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBLOOMFIELD FAMILY DENTAL LLC
Location Address200 E MAIN ST STE 3Bloomfield, IN 47424-1452
Mailing Address3325 W County Road 100 NBargersville, IN 46106-9582 · (317) 670-6026
Phone(812) 384-3736
Organization SubpartNo
Authorized OfficialPhilip James MiriseDentist · (317) 670-6026
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1275389181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
200 E MAIN ST STE 3, Bloomfield, IN 47424
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 Bloomfield Family Dental LLC's NPI number?

The NPI number for Bloomfield Family Dental LLC is 1275389181. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Bloomfield Family Dental LLC located?

Bloomfield Family Dental LLC is located at 200 E Main St Ste 3, Bloomfield, IN 47424. The listed phone number is (812) 384-3736.

What is Bloomfield Family Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Bloomfield Family Dental LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Bloomfield Family Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloomfield Family Dental LLC was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.