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Bloomington Oral Surgery LLC

Oral and Maxillofacial Surgery (Dentist) in Bloomington, IN · enumerated 2010 · authorized official Timothy Devitt, Owner.

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

National Provider Identifier

1841505252

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Registry record

Entity type Organization (Type 2)
Legal business name Bloomington Oral Surgery LLC
Other name <Unavail>
Practice address 857 S Auto Mall Rd, Bloomington, IN, 47401
Phone (812) 332-2204
Fax (821) 332-9095
Enumeration date Aug 10, 2010
Last updated in NPPES Aug 10, 2010

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 0652A (IN) Primary

Authorized official

Name Timothy Devitt
Title Owner
Phone (812) 332-2204

Other identifiers

Identifier Type State Issuer
200809540A 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 the NPI number for Bloomington Oral Surgery LLC?
The NPI for Bloomington Oral Surgery LLC is 1841505252, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bloomington Oral Surgery LLC?
NPPES lists Timothy Devitt (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-10.