Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON CREEK DENTAL
Active OrganizationJACKSON CREEK DENTAL is a General Dentistry organization located in BLOOMINGTON, Indiana. NPI 1295062339 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1295062339
- Provider Type
- Organization
- NPI Issued
- Nov 11, 2009 (16.762816403404 yrs)
- Last Updated
- May 17, 2018
- Licenses
-
12010729 (IN)12010765 (IN)
Practice Information
- Address
-
1124 S COLLEGE MALL RDBLOOMINGTON, IN, 47401Browse IN providers · Browse ZIP 47401
- Phone
- 8123365525
- Fax
- 8123325520
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Organizations in BLOOMINGTON, IN
| Name | NPI |
|---|---|
| BLOOMINGTON DENTAL GROUP | 1770535916 |
| MARC J MEADOWS DDS PC | 1114016201 |
| DENTAL HEALTH ASSOCIATES OF INDIANA | 1174693220 |
| PRITCHARD JASTREMSKI DENTAL ASSOC. LLC | 1639291958 |
| DIANE J. HECKLEY PC | 1871712679 |
| DIANE J. HECKLEY PC | 1487873170 |
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.