Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bloomington Oral Surgery

Oral and Maxillofacial Surgery (Dentist) in Bloomington, IN · enumerated 2019 · authorized official Timothy Devitt, Owner/Oral Surgeon.

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

National Provider Identifier

1891350575

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Registry record

Entity type Organization (Type 2)

Legal business name Bloomington Oral Surgery

Practice address 1116 S College Mall Rd, Bloomington, IN, 47401

Phone (812) 332-2204

Fax (812) 332-9095

Enumeration date May 7, 2019

Last updated in NPPES May 7, 2019

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Timothy Devitt

Title Owner/Oral Surgeon

Phone (812) 332-2204

Other identifiers

Identifier	Type	State	Issuer
1164475323	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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-05-07. Verify at npiregistry.cms.hhs.gov.

Where is Bloomington Oral Surgery located?

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

Providers at this address

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Timothy Devitt Oral and Maxillofacial Surgery (Dentist) · Bloomington, IN NPI 1164475323

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-05-07.