Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jackson Creek Dental

Dentist in Bloomington, IN · enumerated 2013 · authorized official Ryan Tschetter, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114362803

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Registry record

Entity type Organization (Type 2)

Legal business name Jackson Creek Dental

Practice address 1124 S College Mall Rd, Bloomington, IN, 47401

Phone (812) 336-5525

Fax (812) 322-5520

Enumeration date May 8, 2013

Last updated in NPPES May 8, 2013

Taxonomy & classification

122300000X Dentist Dental Providers · License 12010765A (IN) Primary

Authorized official

Name Ryan Tschetter

Title Dentist

Phone (812) 336-5525

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-05-08. Verify at npiregistry.cms.hhs.gov.

Where is Jackson Creek Dental located?

The practice location on file with NPPES is in Bloomington, IN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-08.