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JACKSON CREEK DENTAL
NPI 1295062339
Dentist - General Practice in Bloomington, IN

Active since November 11, 2009
1124 S COLLEGE MALL RD, BLOOMINGTON, IN 47401(812) 336-5525(812) 332-5520 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Creek Dental NPPES

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

JACKSON CREEK DENTAL (NPI 1295062339) is a healthcare organization registered as a general practice in Bloomington, Indiana and active in the NPI registry since November 2009. The organization lists Ryan David Tschettei, Owner, as its authorized official.

NPPES Registry Identity

NPI1295062339
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJACKSON CREEK DENTAL
Location Address1124 S COLLEGE MALL RDBloomington, IN 47401
Mailing Address1124 S College Mall RdBloomington, IN 47401 · (812) 336-5525 · Fax (812) 332-5520
Phone(812) 336-5525
Fax(812) 332-5520
Organization SubpartNo
Authorized OfficialRyan David TschetteiOwner · (812) 336-5525
Enumeration DateNovember 11, 2009
Last NPPES UpdateMay 17, 2018
✔ NPI 1295062339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IN · 12010765✔ Licensed in IN · 12010729
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.
1124 S COLLEGE MALL RD, Bloomington, IN 47401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

JACKSON CREEK DENTAL
Dentist
1124 S COLLEGE MALL RD
BLOOMINGTON, IN 47401
Monroe County (812) 336-5525
DR. WHITNEY R WALDRUP MARSH DENTIST
Dentist
1124 S COLLEGE MALL RD
BLOOMINGTON, IN 47401
Monroe County (812) 336-5525
MR. RYAN DAVID TSCHETTER DDS
Dentist (General Practice)
1124 S COLLEGE MALL RD
BLOOMINGTON, IN 47401
Monroe County (812) 336-5525
LAUREN R HOYE DDS
Dentist
1124 S COLLEGE MALL RD
BLOOMINGTON, IN 47401
Monroe County (812) 336-5525

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 Jackson Creek Dental's NPI number?

The NPI number for Jackson Creek Dental is 1295062339. It was assigned to this organization in the NPPES registry on November 11, 2009.

Where is Jackson Creek Dental located?

Jackson Creek Dental is located at 1124 S College Mall Rd, Bloomington, IN 47401. The listed phone number is (812) 336-5525.

What is Jackson Creek Dental'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 Jackson Creek Dental was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.