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

Periodontal Associates of Bloomington

Organization Periodontics · NPI 1386527059

Periodontal Associates of Bloomington is a Periodontics in Bloomington, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

230 N Morton St
Bloomington, IN 47404-3964
Phone: (812) 323-7000
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1386527059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Villanueva — Operations Manager · (630) 532-1063
Other names Midwest Dental Specialists
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address230 N Morton St, Bloomington, IN 47404-3964

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