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Bloomington Pediatric Dentistry L.L.C.

Pediatric Dentistry in Bloomington, IN · enumerated 2008 · authorized official Kyle Taylor, Owner.

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

National Provider Identifier

1780850628

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Registry record

Entity type Organization (Type 2)
Legal business name Bloomington Pediatric Dentistry L.L.C.
Practice address 477 S Landmark Ave, Bloomington, IN, 47403
Phone (812) 355-0855
Enumeration date May 1, 2008
Last updated in NPPES May 1, 2008

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 12010198 (IN) Primary

Authorized official

Name Kyle Taylor
Title Owner
Phone (812) 355-0855

Other identifiers

Identifier Type State Issuer
200338620A Medicaid IN -

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Bloomington Pediatric Dentistry L.L.C.?
Bloomington Pediatric Dentistry L.L.C. is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-01.