Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloomington Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1891350575

Bloomington Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Bloomington, Indiana. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1116 S College Mall Rd
Bloomington, IN 47401-6178
Phone: (812) 332-2204
Fax: (812) 332-9095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1891350575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Devitt — Owner/Oral Surgeon · (812) 332-2204
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 7, 2019
Mailing address1116 S College Mall Rd, Bloomington, IN 47401-6178

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