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Bloomington Oral & Maxillofacial Surgery Group

Oral & Maxillofacial Surgery (D.M.D.) in Bloomington, IN · enumerated 2007 · authorized official Scott Tate, Doctor President.

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

National Provider Identifier

1386762318

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Registry record

Entity type Organization (Type 2)
Legal business name Bloomington Oral & Maxillofacial Surgery Group
Practice address 637 S Walker Street, Suite 1, Bloomington, IN, 47403
Fax (812) 323-9701
Enumeration date Mar 27, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians · License IN12010196A (IN) Primary

Authorized official

Name Scott Tate
Title Doctor President

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.

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Frequently asked questions

What is the NPI number for Bloomington Oral & Maxillofacial Surgery Group?
The NPI for Bloomington Oral & Maxillofacial Surgery Group is 1386762318, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bloomington Oral & Maxillofacial Surgery Group?
NPPES lists Scott Tate (Doctor President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.