Jackson Creek Dental
Jackson Creek Dental is a General Practice Dentistry in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2009.
- Licensed in
- IN
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
1124 S College Mall RdBloomington, IN 47401
Phone: (812) 336-5525
Fax: (812) 332-5520
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 12010765 (IN) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 12010729 (IN) |
Record details
| NPI number | 1295062339 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Tschettei — Owner · (812) 336-5525 |
| NPI enumerated | November 11, 2009 |
| Last updated in NPPES | May 17, 2018 |
| Mailing address | 1124 S College Mall Rd, Bloomington, IN 47401 |
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