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PERIODONTAL ASSOCIATES OF BLOOMINGTON
NPI 1386527059
Dentist - Periodontics in Bloomington, IN

Active since July 29, 2025
230 N MORTON ST, BLOOMINGTON, IN 47404(812) 323-7000 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Periodontal Associates Of Bloomington NPPES

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

PERIODONTAL ASSOCIATES OF BLOOMINGTON (NPI 1386527059), doing business as Midwest Dental Specialists, is a healthcare organization registered as a periodontics in Bloomington, Indiana and active in the NPI registry since July 2025. The organization lists Jonathan Villanueva, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1386527059
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL ASSOCIATES OF BLOOMINGTON
Location Address230 N MORTON STBloomington, IN 47404-3964
Mailing Address230 N Morton StBloomington, IN 47404-3964
Phone(812) 323-7000
Organization SubpartNo
Authorized OfficialJonathan VillanuevaOperations Manager · (630) 532-1063
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1386527059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
230 N MORTON ST, Bloomington, IN 47404
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Other Names 1

Doing Business AsMidwest Dental Specialists

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 4

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

DIANE J HECKLEY D.D.S.
Dentist (General Practice)
230 N MORTON ST
BLOOMINGTON, IN 47404
Monroe County (128) 333-3330
DR. JOSHUA J GARVER D.D.S.
Dentist (General Practice)
230 N MORTON ST
BLOOMINGTON, IN 47404
Monroe County (812) 323-9970
DR. GREGORY ELLIS PHILLIPS DDS, MSD
Dentist (Periodontics)
230 N MORTON ST
BLOOMINGTON, IN 47404
Monroe County (812) 323-7000
DIANE J. HECKLEY PC
Dentist (General Practice)
230 N MORTON ST
BLOOMINGTON, IN 47404
Monroe County (812) 323-9970

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 Periodontal Associates Of Bloomington's NPI number?

The NPI number for Periodontal Associates Of Bloomington is 1386527059. It was assigned to this organization in the NPPES registry on July 29, 2025. The provider is doing business as Midwest Dental Specialists.

Where is Periodontal Associates Of Bloomington located?

Periodontal Associates Of Bloomington is located at 230 N Morton St, Bloomington, IN 47404. The listed phone number is (812) 323-7000.

What is Periodontal Associates Of Bloomington's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Associates Of Bloomington was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.