Individual
DR. KENNETH LUKE EADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2810 S WALNUT STREET PIKE, BLOOMINGTON, IN 47401-8403
(812) 336-2600
(812) 336-1090
Mailing address
2810 S WALNUT STREET PIKE, BLOOMINGTON, IN 47401-8403
(812) 336-2600
(812) 336-1090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009011A
IN
Other
Enumeration date
09/17/2006
Last updated
08/20/2013
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