# BLOOM DENTAL - BEDFORD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396653143
- **Authorized official:** HALEY LONG (RCM)
- **Authorized official phone:** (317) 313-8457

## Contact information

- **Practice address:** 1504 DENTAL DR, BEDFORD, IN 47421-3574
- **Practice address phone:** (812) 275-7975
- **Mailing address:** 435 VIRGINIA AVE UNIT 1900, INDIANAPOLIS, IN 46203-1964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2026
- **Last updated:** 09/01/2026