K LUKE EADES DDS PC
NPI 1962670034
Dentist - General Practice in Bloomington, IN

Active since February 12, 2008
2810 S WALNUT STREET PIKE, BLOOMINGTON, IN 47401(812) 336-2688(812) 336-1090 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About K Luke Eades Dds Pc NPPES

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

K LUKE EADES DDS PC (NPI 1962670034) is a healthcare organization registered as a general practice in Bloomington, Indiana and active in the NPI registry since February 2008. The organization lists Kenneth Luke Eades, President, as its authorized official.

NPPES Registry Identity

NPI1962670034
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameK LUKE EADES DDS PC
Location Address2810 S WALNUT STREET PIKEBloomington, IN 47401-8403
Mailing Address2810 S Walnut Street PikeBloomington, IN 47401-8403 · (812) 336-2688 · Fax (812) 336-1090
Fax(812) 336-1090
Organization SubpartNo
Authorized OfficialKenneth Luke EadesPresident · (812) 336-2688
Enumeration DateFebruary 12, 2008
Last NPPES UpdateFebruary 18, 2015
NPI 1962670034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 54000865
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2810 S WALNUT STREET PIKE, Bloomington, IN 47401

Other Identifiers 1

Other54000865IN · License Number

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 2

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

Dentist
2810 S WALNUT STREET PIKE
BLOOMINGTON, IN 47401
Dentist
2810 S WALNUT STREET PIKE
BLOOMINGTON, IN 47401

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 K Luke Eades Dds PC's NPI number?

The NPI number for K Luke Eades Dds PC is 1962670034. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is K Luke Eades Dds PC located?

K Luke Eades Dds PC is located at 2810 S Walnut Street Pike, Bloomington, IN 47401. The listed phone number is (812) 336-2688.

What is K Luke Eades Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for K Luke Eades Dds PC was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.