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PRITCHARD JASTREMSKI DENTAL ASSOC. LLC
NPI 1639291958
Dentist - General Practice in Bloomington, IN

Active since April 06, 2007
1550 S LIBERTY DR, BLOOMINGTON, IN 47403(812) 339-2811(812) 961-0746 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pritchard Jastremski Dental Assoc. Llc NPPES

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

PRITCHARD JASTREMSKI DENTAL ASSOC. LLC (NPI 1639291958) is a healthcare organization registered as a general practice in Bloomington, Indiana and active in the NPI registry since April 2007. The organization lists Kelly Andrew Jastremski, Owner Manager, as its authorized official.

NPPES Registry Identity

NPI1639291958
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRITCHARD JASTREMSKI DENTAL ASSOC. LLC
Location Address1550 S LIBERTY DRBloomington, IN 47403-5167
Mailing Address1550 S Liberty DrBloomington, IN 47403-5167 · (812) 339-2811 · Fax (812) 961-0746
Phone(812) 339-2811
Fax(812) 961-0746
Organization SubpartNo
Authorized OfficialKelly Andrew JastremskiOwner Manager · (812) 339-2811
Enumeration DateApril 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639291958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12009671
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.
1550 S LIBERTY DR, Bloomington, IN 47403
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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.

ELIZABETH HUCK
Dentist
1550 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 340-1365
DR. KELLY ANDREW JASTREMSKI DDS
Dentist (General Practice)
1550 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 339-2811
DR. STEPHEN JAY PRITCHARD DDS
Dentist (General Practice)
1550 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 339-2811
DR. GAVIN CHARLES ROTHROCK DDS
Dentist (General Practice)
1550 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 339-2811

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 Pritchard Jastremski Dental Assoc. LLC's NPI number?

The NPI number for Pritchard Jastremski Dental Assoc. LLC is 1639291958. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Pritchard Jastremski Dental Assoc. LLC located?

Pritchard Jastremski Dental Assoc. LLC is located at 1550 S Liberty Dr, Bloomington, IN 47403. The listed phone number is (812) 339-2811.

What is Pritchard Jastremski Dental Assoc. LLC'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 Pritchard Jastremski Dental Assoc. LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.