Organization
DENTAL HEALTH ASSOCIATES OF INDIANA
Active
Other names
Bloomington Gentle Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM HOAGLAND (EXECUTIVE)
(502) 423-9111
Entity
Organization
Contact information
Practice address
1121 W 2ND ST, BLOOMINGTON, IN 47403-2160
(812) 339-1671
(812) 337-1231
Mailing address
9505 WILLIAMSBURG PLZ STE 301, LOUISVILLE, KY 40222-5090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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