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

Bloomington Pediatric Dentistry LLC

Organization Pediatric Dentistry · NPI 1780850628

Bloomington Pediatric Dentistry LLC is a Pediatric Dentistry in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

477 S Landmark Ave
Bloomington, IN 47403-5005
Phone: (812) 355-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12010198 (IN)

Record details

NPI number1780850628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Taylor — Owner · (812) 355-0855
NPI enumeratedMay 1, 2008
Last updated in NPPESMay 1, 2008
Mailing address477 S Landmark Ave, Bloomington, IN 47403-5005

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