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TIMOTHY J DEVITT, DMD
NPI 1841505252
Dentist - Oral and Maxillofacial Surgery in Bloomington, IN

Active since August 10, 2010
857 S AUTO MALL RD, BLOOMINGTON, IN 47401(812) 332-2204(821) 332-9095 Get Directions Write a Review

NPPES record last updated: August 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy J Devitt, Dmd NPPES

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

TIMOTHY J DEVITT, DMD (NPI 1841505252) is a healthcare organization registered as an oral and maxillofacial surgery in Bloomington, Indiana and active in the NPI registry since August 2010. The organization lists Timothy Devitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1841505252
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBLOOMINGTON ORAL SURGERY LLC
Location Address857 S AUTO MALL RDBloomington, IN 47401-5447
Mailing Address857 S Auto Mall RdBloomington, IN 47401-5447 · (812) 332-2204 · Fax (821) 332-9095
Phone(812) 332-2204
Fax(821) 332-9095
Organization SubpartNo
Authorized OfficialTimothy DevittOwner · (812) 332-2204
Enumeration DateAugust 10, 2010
✔ NPI 1841505252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IN · 0652A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
857 S AUTO MALL RD, Bloomington, IN 47401
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Other Names 1

Doing Business AsTimothy J Devitt, Dmd

Other Identifiers 1

Medicaid200809540AIN

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.

MADELINE POTEET DDS
Dentist (General Practice)
857 S AUTO MALL RD
BLOOMINGTON, IN 47401
Monroe County (812) 339-4400
JOHN D HIESTER DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
857 S AUTO MALL RD
BLOOMINGTON, IN 47401
Monroe County (812) 494-7332
DR. ANDREW PAUL WATKINS D.D.S
Dentist
857 S AUTO MALL RD, #4
BLOOMINGTON, IN 47401
Monroe County (812) 339-4400
DR. DAVID J HENDERSON DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
857 S AUTO MALL RD
BLOOMINGTON, IN 47401
Monroe County (812) 333-1051

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 Oral Surgery LLC's NPI number?

The NPI number for Bloomington Oral Surgery LLC is 1841505252. It was assigned to this organization in the NPPES registry on August 10, 2010. The provider is doing business as Timothy J Devitt, Dmd.

Where is Bloomington Oral Surgery LLC located?

Bloomington Oral Surgery LLC is located at 857 S Auto Mall Rd, Bloomington, IN 47401. The listed phone number is (812) 332-2204.

What is Bloomington Oral Surgery LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Bloomington Oral Surgery LLC was last updated on August 10, 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.