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

Bloomington Oral Surgery LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1841505252

Bloomington Oral Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

857 S Auto Mall Rd
Bloomington, IN 47401-5447
Phone: (812) 332-2204
Fax: (821) 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 · Licence 0652A (IN)

Record details

NPI number1841505252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Devitt — Owner · (812) 332-2204
Other names Timothy J Devitt, Dmd
NPI enumeratedAugust 10, 2010
Last updated in NPPESAugust 10, 2010
Mailing address857 S Auto Mall Rd, Bloomington, IN 47401-5447

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