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BLOOMINGTON SOUTHSIDE DENTAL CARE. LLC
NPI 1437890290
Dentist - General Practice in Bloomington, IN

Active since April 05, 2022
191 W GORDON PIKE, BLOOMINGTON, IN 47403(812) 824-4444 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bloomington Southside Dental Care. Llc NPPES

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

BLOOMINGTON SOUTHSIDE DENTAL CARE. LLC (NPI 1437890290) is a healthcare organization registered as a general practice in Bloomington, Indiana and active in the NPI registry since April 2022. The organization lists Jill Rene Reitmeyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1437890290
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLOOMINGTON SOUTHSIDE DENTAL CARE. LLC
Location Address191 W GORDON PIKEBloomington, IN 47403-4518
Mailing Address191 W Gordon PikeBloomington, IN 47403-4518 · (812) 824-4444
Phone(812) 824-4444
Organization SubpartNo
Authorized OfficialJill Rene ReitmeyerOwner · (812) 824-4444
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1437890290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
191 W GORDON PIKE, Bloomington, IN 47403
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Other Identifiers 2

Other1114439189IN · Narey Npi
Other1720370059IN · Personal Npi

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

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 and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. TIFFANY KONG DDS
Dentist
191 W GORDON PIKE
BLOOMINGTON, IN 47403
Monroe County (812) 824-4444

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 Bloomington Southside Dental Care. LLC's NPI number?

The NPI number for Bloomington Southside Dental Care. LLC is 1437890290. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Bloomington Southside Dental Care. LLC located?

Bloomington Southside Dental Care. LLC is located at 191 W Gordon Pike, Bloomington, IN 47403. The listed phone number is (812) 824-4444.

What is Bloomington Southside Dental Care. LLC's specialty?

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

What insurance does Bloomington Southside Dental Care. LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and DentaQuest USA Insurance list Bloomington Southside Dental Care. 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 Bloomington Southside Dental Care. LLC was last updated on April 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.