DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON CREEK DENTAL

Active Organization

JACKSON CREEK DENTAL is a Dentist organization located in BLOOMINGTON, Indiana. NPI 1114362803 is currently active in the NPPES registry. Verify at CMS.

Dentist · BLOOMINGTON, IN

Registration Details

NPI Number
1114362803
Provider Type
Organization
NPI Issued
May 8, 2013 (13.290700597409 yrs)
Last Updated
May 8, 2013
License
12010765A (IN)

Practice Information

Address
1124 S COLLEGE MALL RD
BLOOMINGTON, IN, 474016178
Browse IN providers · Browse ZIP 47401
Phone
8123365525
Fax
8123225520
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.