Organization
BBB OF IN, LLC
Active
Other names
BBB - Bloomington
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
905 S COLLEGE MALL RD, BLOOMINGTON, IN 47401-6302
(812) 336-2448
(812) 336-3112
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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