BLOOMINGTON FAMILY DENTAL
NPI 1851628903
Dentist in Bloomington, IN

Q: What is Bloomington Family Dental's NPI number?

The NPI number for Bloomington Family Dental is 1851628903. It was assigned to this organization in the NPPES registry on November 11, 2009.

Q: What is Bloomington Family Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 11, 2009

4000 SOUTH OLD STATE RD US 37, BLOOMINGTON, IN 47401(812) 824-1600(812) 824-1615 Get Directions Write a Review

NPPES record last updated: November 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bloomington Family Dental NPPES

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

BLOOMINGTON FAMILY DENTAL (NPI 1851628903) is a healthcare organization registered as a dentist in Bloomington, Indiana and active in the NPI registry since November 2009. The organization lists Ryan Edward Kloboves, Dentist, as its authorized official.

NPPES Registry Identity

NPI1851628903

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBLOOMINGTON FAMILY DENTAL

Location Address4000 SOUTH OLD STATE RD US 37Bloomington, IN 47401-7412

Mailing Address4000 S. Old State Rd Us 37Bloomington, IN 47401-7412 · (812) 824-1600 · Fax (812) 824-1615

Phone(812) 824-1600

Fax(812) 824-1615

Organization SubpartNo

Authorized OfficialRyan Edward KlobovesDentist · (812) 824-1600

Enumeration DateNovember 11, 2009

✔ NPI 1851628903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12010746B

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4000 SOUTH OLD STATE RD US 37, Bloomington, IN 47401

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Other Names 1

Doing Business AsBloomington Family Dental

Other Identifiers 1

Medicaid200522010IN

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

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 and more.Insurance ›

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 Family Dental's NPI number?

The NPI number for Bloomington Family Dental is 1851628903. It was assigned to this organization in the NPPES registry on November 11, 2009.

Where is Bloomington Family Dental located?

Bloomington Family Dental is located at 4000 South Old State Rd Us 37, Bloomington, IN 47401. The listed phone number is (812) 824-1600.

What is Bloomington Family Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Bloomington Family Dental accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Bloomington Family Dental 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 Family Dental was last updated on November 11, 2009. 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.