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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: July 19, 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 ›

Reviews for BLOOMINGTON PEDIATRIC DENTISTRY L.L.C.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

What is BLOOMINGTON PEDIATRIC DENTISTRY L.L.C.'s NPI number?

The NPI number assigned to this healthcare provider is 1780850628, enumerated as an "organization" on May 01, 2008.

Where is the provider located?

The provider is located at 477 S LANDMARK AVE BLOOMINGTON, IN 47403 and the phone number is (812) 355-0855.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

What insurance does BLOOMINGTON PEDIATRIC DENTISTRY L.L.C. accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.