# DENTAL HEALTH ASSOCIATES OF INDIANA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bloomington Gentle Dentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174693220
- **Authorized official:** MR. TIM HOAGLAND (EXECUTIVE)
- **Authorized official phone:** (502) 423-9111

## Contact information

- **Practice address:** 1121 W 2ND ST, BLOOMINGTON, IN 47403-2160
- **Practice address phone:** (812) 339-1671
- **Practice address fax:** (812) 337-1231
- **Mailing address:** 9505 WILLIAMSBURG PLZ STE 301, LOUISVILLE, KY 40222-5090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020