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

Southern Indiana Pediatric Dentistry, LLC

Organization Pediatric Dentistry · NPI 1356634471

Southern Indiana Pediatric Dentistry, LLC is a Pediatric Dentistry in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
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

828 S Auto Mall Rd
Bloomington, IN 47401-5430
Phone: (812) 333-5437
Fax: (812) 333-6305
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12011284A (IN)

Record details

NPI number1356634471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Rasche — Owner/Member · (812) 661-0612
Other names Rasche Pediatric Dentistry, Llc
NPI enumeratedMay 23, 2011
Last updated in NPPESNovember 22, 2011
Mailing address828 S Auto Mall Rd, Bloomington, IN 47401-5430

Other providers in Bloomington