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ELLETTSVILLE GENTLE DENTIST
NPI 1609190719
Dentist - General Practice in Bloomington, IN

Active since March 18, 2010
3617 W STATE ROAD 46, BLOOMINGTON, IN 47404(812) 876-0007 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellettsville Gentle Dentist NPPES

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

ELLETTSVILLE GENTLE DENTIST (NPI 1609190719) is a healthcare organization registered as a general practice in Bloomington, Indiana and active in the NPI registry since March 2010. The organization lists Jennifer Purvis, Ar Manager, as its authorized official.

NPPES Registry Identity

NPI1609190719
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL HEALTH ASSOC OF IN
Location Address3617 W STATE ROAD 46Bloomington, IN 47404-9152
Mailing Address3617 W State Road 46Bloomington, IN 47404-9152 · (812) 876-0007
Phone(812) 876-0007
Organization SubpartNo
Authorized OfficialJennifer PurvisAr Manager · (317) 359-3888
Enumeration DateMarch 18, 2010
✔ NPI 1609190719 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.
3617 W STATE ROAD 46, Bloomington, IN 47404
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Other Names 1

Doing Business AsEllettsville Gentle Dentist

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DIANE J. HECKLEY PC
Dentist (General Practice)
3617 W STATE ROAD 46
BLOOMINGTON, IN 47404
Monroe County (812) 323-9970
MFDC OF INDIANA, INC
Dentist (General Practice)
3617 W STATE ROAD 46
BLOOMINGTON, IN 47404
Monroe County (812) 876-0007
DR. JOSEPH L PARKER DMD
Dentist (General Practice)
3617 W STATE ROAD 46
BLOOMINGTON, IN 47404
Monroe County (812) 876-0007

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 Dental Health Assoc Of In's NPI number?

The NPI number for Dental Health Assoc Of In is 1609190719. It was assigned to this organization in the NPPES registry on March 18, 2010. The provider is doing business as Ellettsville Gentle Dentist.

Where is Dental Health Assoc Of In located?

Dental Health Assoc Of In is located at 3617 W State Road 46, Bloomington, IN 47404. The listed phone number is (812) 876-0007.

What is Dental Health Assoc Of In'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 Dental Health Assoc Of In was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.