Southern Indiana Pediatric Dentistry, LLC
Southern Indiana Pediatric Dentistry, LLC provides 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.
Practice location Address checks out
828 S Auto Mall RdBloomington, IN 47401-5430 Not confirmed with CMS for 14 years — call before visiting
Phone: (812) 333-5437
Fax: (812) 333-6305
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1356634471 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Rasche — Owner/Member · (812) 661-0612 |
| Other names | Rasche Pediatric Dentistry, Llc |
| NPI enumerated | May 23, 2011 |
| Last updated in NPPES | November 22, 2011 |
| Mailing address | 828 S Auto Mall Rd, Bloomington, IN 47401-5430 |
Other providers in Bloomington
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Tamara Lynn Gierke, DDS
477 S Landmark Ave, Bloomington, IN 47403-5005 · (812) 355-0855
-
J Keith Roberts DDS LLC
828 S Auto Mall Rd, Bloomington, IN 47401-5430 · (812) 333-5437
-
Dr. Robert Frederick Rimstidt, DDS
515 S Woodscrest Dr, Bloomington, IN 47401-5524 · (812) 336-4445
-
Dr. Devin Brant Shone, DDS
477 S Landmark Ave, Bloomington, IN 47403-5005 · (812) 355-0855
-
Dr. Kyle Wayne Taylor, DDS
477 S Landmark Ave, Bloomington, IN 47403-5005 · (812) 355-0855