# BLOOM DENTAL-FLETCHER PLACE, LLC

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

## Provider details

- **NPI number:** 1982427472
- **Authorized official:** BRANDT FINNEY (OWNER)
- **Authorized official phone:** (317) 672-7522

## Contact information

- **Practice address:** 435 VIRGINIA AVE UNIT 1800, INDIANAPOLIS, IN 46203-0016
- **Practice address phone:** (317) 672-7522
- **Practice address fax:** (317) 672-7524
- **Mailing address:** 435 VIRGINIA AVE UNIT 1800, INDIANAPOLIS, IN 46203-0016
- **Mailing address phone:** (317) 672-7522
- **Mailing address fax:** (317) 672-7524

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2024
- **Last updated:** 11/04/2024