Jackson Creek Dental
Jackson Creek Dental is a Dentist in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2013.
- Licensed in
- IN
- In the registry since
- 2013
Practice location Address checks out
1124 S College Mall RdBloomington, IN 47401-6178
Phone: (812) 336-5525
Fax: (812) 322-5520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 12010765A (IN) |
|---|
Record details
| NPI number | 1114362803 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Tschetter — Dentist · (812) 336-5525 |
| NPI enumerated | May 8, 2013 |
| Last updated in NPPES | May 8, 2013 |
| Mailing address | 1124 S College Mall Rd, Bloomington, IN 47401-6178 |
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