DR. TIMOTHY J DEVITT


Address: 1116 S College Mall Rd, Bloomington, IN 47401-6178
Phone: 8123322204

DR. TIMOTHY J DEVITT (NPI# 1164475323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164475323
Entity Type Individual
Full Name DR. TIMOTHY J DEVITT
Credential D.M.D.
Practice Address 1116 S College Mall Rd
Bloomington
IN 47401-6178
Practice Telephone 8123322204
Mailing Telephone 8123322204
Enumeration Date 2006-05-18
Last Update Date 2019-05-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
12010652A IN Dental Providers

Other Providers TIMOTHY DEVITT

NPI Name Taxonomy Address Enumeration
1861840241 Timothy Devitt Counselor 7941 1/2 Blackburn Ave, Los Angeles, CA 90048-4417 2016-05-26
1346557493 Timothy S. Devitt Counselor 3139 N. Lincoln Ave Ste 222, Chicago, IL 60657 2010-09-10
1801838784 Timothy J Devitt Family Medicine 102 Sunset Ave, Soldiers Grove, WI 54655-1400 2006-06-12

Office Location

Street Address 1116 S COLLEGE MALL RD
City BLOOMINGTON
State IN
Zip Code 47401-6178

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891350575 Bloomington Oral Surgery Dentist 1116 S College Mall Rd, Bloomington, IN 47401-6178 2019-05-07
1316988447 Larry J. Steele Chiropractor 1116 S College Mall Rd, Bloomington, IN 47401-6178 2006-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740765791 Holly G Carter Physical Therapist 3607 Heirloom Dr, Bloomington, IN 47401 2018-09-26
1285116657 Kimberly D Bergan Occupational Therapist 3607 S Heirloom Dr, Bloomington, IN 47401 2018-09-03
1255836813 Erin Kathleen Sain Nurse Practitioner 326 W Woodcrest Drive, Bloomington, IN 47401 2018-03-27
1881104289 Ev Bloomington Limited Partnership Assisted Living Facility 3607 South Heirloom Drive, Bloomington, IN 47401 2017-10-11
1619496536 Kirsten N Neely Physical Therapist 2604 E. Creek's Edge Dr., Bloomington, IN 47401 2017-09-12
1023533908 Hoosier United Therapy Service LLC Physical Therapist 2801 E Plateau Place, Bloomington, IN 47401 2017-08-11
1194127381 Ann Marie Neeley Lactation Consultant, Non-RN 2458 South Walnut Street, Bloomington, IN 47401 2014-09-19
1518397801 Indiana Spine and Sports Inc. Chiropractor 418 S Walnut St Suite C, Bloomington, IN 47401 2013-11-22
1053654574 William Robblee Anderson Obstetrics & Gynecology 2625 E. Spicewood Ct., Bloomington, IN 47401 2013-04-03
1285979377 Jenna Marie Dale Optometrist 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 2012-11-30
Find all providers in zip 47401

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568878270 Austin Starr Dentist 473 S Landmark Ave, Bloomington, IN 47403-5005 2014-07-02
1669533964 Richard J Claydon Dentist 107 S Prospect, Bloomington, IL 61704 2006-12-12
1528166097 Scott Eric Tate Dentist 637 S Walker St, Ste 1, Bloomington, IN 47403-2154 2006-09-20
1497798136 Thomas W Gibbs Dentist 857 Auto Mall Rd, Bloomington, IN 47440-5447 2006-06-13
1760461339 South Central Oral & Maxillofacial Surgery, LLC Dentist 2911 E Covenanter Dr, Suite B, Bloomington, IN 47401-6320 2006-01-12
1710985759 Drs Doran Capodice Efaw & Ocheltree LLC Dentist 109 N Regency Dr, Bloomington, IL 61701-3515 2005-07-13
1356978753 Starr Oral & Maxillofacial Surgery, LLC Dentist 473 S Landmark Ave, Bloomington, IN 47403-5005 2020-03-25
1891350575 Bloomington Oral Surgery Dentist 1116 S College Mall Rd, Bloomington, IN 47401-6178 2019-05-07
1841505252 Bloomington Oral Surgery LLC Dentist 857 S Auto Mall Rd, Bloomington, IN 47401-5447 2010-08-10
1437291895 Craig Walter Lopatka Dentist 2502 E Empire St Ste B, Bloomington, IL 61704-3739 2007-02-13
Find all providers in BLOOMINGTON

Competitor

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City BLOOMINGTON
Zip Code 47401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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