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BLOOMINGTON PEDIATRIC DENTISTRY L.L.C.
NPI 1780850628
Dentist - Pediatric Dentistry in Bloomington, IN

Active since May 01, 2008
477 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 355-0855 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bloomington Pediatric Dentistry L.l.c. NPPES

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

BLOOMINGTON PEDIATRIC DENTISTRY L.L.C. (NPI 1780850628) is a healthcare organization registered as a pediatric dentistry in Bloomington, Indiana and active in the NPI registry since May 2008. The organization lists Kyle Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1780850628
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBLOOMINGTON PEDIATRIC DENTISTRY L.L.C.
Location Address477 S LANDMARK AVEBloomington, IN 47403-5005
Mailing Address477 S Landmark AveBloomington, IN 47403-5005
Phone(812) 355-0855
Organization SubpartNo
Authorized OfficialKyle TaylorOwner · (812) 355-0855
Enumeration DateMay 1, 2008
✔ NPI 1780850628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IN · 12010198
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
477 S LANDMARK AVE, Bloomington, IN 47403
Open in Google Maps ↗

Other Identifiers 1

Medicaid200338620AIN

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

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.Insurance ›

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.

DR. KYLE WAYNE TAYLOR D.D.S.
Dentist (Pediatric Dentistry)
477 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 355-0855
TAMARA LYNN GIERKE DDS
Dentist (Pediatric Dentistry)
477 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 355-0855
DR. DEVIN BRANT SHONE D.D.S.
Dentist (Pediatric Dentistry)
477 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 355-0855

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 Pediatric Dentistry L.L.C.'s NPI number?

The NPI number for Bloomington Pediatric Dentistry L.L.C. is 1780850628. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Bloomington Pediatric Dentistry L.L.C. located?

Bloomington Pediatric Dentistry L.L.C. is located at 477 S Landmark Ave, Bloomington, IN 47403. The listed phone number is (812) 355-0855.

What is Bloomington Pediatric Dentistry L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Bloomington Pediatric Dentistry L.L.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Bloomington Pediatric Dentistry L.L.C. 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 Pediatric Dentistry L.L.C. was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.