DR. AUSTIN STARR (NPI# 1568878270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568878270 |
| Entity Type | Individual |
| Full Name | DR. AUSTIN STARR |
| Credential | D.D.S. |
| Practice Address |
473 S Landmark Ave Bloomington IN 47403-5005 |
| Practice Telephone | 8123181023 |
| Mailing Telephone | 8123181023 |
| Mailing Fax Number | 8123181643 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12012916 | IN | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3434 | OH | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 W 12th Ave, Columbus, OH 432101267 | 6142929731 |
| Street Address |
473 S LANDMARK AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978753 | Starr Oral & Maxillofacial Surgery, LLC | Dentist | 473 S Landmark Ave, Bloomington, IN 47403-5005 | 2020-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1164475323 | Timothy J Devitt | Dentist | 1116 S College Mall Rd, Bloomington, IN 47401-6178 | 2006-05-18 |
| 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 | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on DR. AUSTIN STARR.
| 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.