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Contact Information

AFFORDABLE DENTURES & IMPLANTS - BLOOMINGTON IV, P.C.
3800 W INDUSTRIAL BLVD
BLOOMINGTON, IN47403-5139
 Phone: 812-339-9899
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AFFORDABLE DENTURES & IMPLANTS - BLOOMINGTON IV, P.C.

NPI # 1225758576
LBN Legal business name AFFORDABLE DENTURES & IMPLANTS - BLOOMINGTON IV, P.C.
Authorized official JAE LEE - (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2022
Last updated 08/29/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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