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BLOOMINGTON ORAL SURGERY
NPI 1891350575
Dentist - Oral and Maxillofacial Surgery in Bloomington, IN

Active since May 07, 2019
1116 S COLLEGE MALL RD, BLOOMINGTON, IN 47401(812) 332-2204(812) 332-9095 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bloomington Oral Surgery NPPES

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

BLOOMINGTON ORAL SURGERY (NPI 1891350575) is a healthcare organization registered as an oral and maxillofacial surgery in Bloomington, Indiana and active in the NPI registry since May 2019. The organization lists Timothy Jacob Devitt, Owner/oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1891350575
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBLOOMINGTON ORAL SURGERY
Location Address1116 S COLLEGE MALL RDBloomington, IN 47401-6178
Mailing Address1116 S College Mall RdBloomington, IN 47401-6178 · (812) 332-2204 · Fax (812) 332-9095
Phone(812) 332-2204
Fax(812) 332-9095
Organization SubpartNo
Authorized OfficialTimothy Jacob DevittOwner/oral Surgeon · (812) 332-2204
Enumeration DateMay 7, 2019
✔ NPI 1891350575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
1116 S COLLEGE MALL RD, Bloomington, IN 47401
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Other Identifiers 1

Medicaid1164475323IN

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 and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY J DEVITT D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1116 S COLLEGE MALL RD
BLOOMINGTON, IN 47401
Monroe County (812) 332-2204

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's NPI number?

The NPI number for Bloomington Oral Surgery is 1891350575. It was assigned to this organization in the NPPES registry on May 7, 2019.

Where is Bloomington Oral Surgery located?

Bloomington Oral Surgery is located at 1116 S College Mall Rd, Bloomington, IN 47401. The listed phone number is (812) 332-2204.

What is Bloomington Oral Surgery's specialty?

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

What insurance does Bloomington Oral Surgery accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Bloomington Oral Surgery 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 Oral Surgery was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.