Todd Whitlock, DDS, LLC
Dentist, General Practice in Bloomington, IN. Organization (NPI-2).
Details
- NPI
- 1881843613
- Entity type
- Organization (NPI-2)
- Legal business name
- Todd Whitlock, DDS, LLC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2008
- Last updated
- Feb 17, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12009170 | IN | Yes |
Practice location
3671 S Sare RdBloomington, IN 47401-4173
Phone 812-332-0052 · Fax 812-332-0128
Mailing address
3671 S Sare RdBloomington, IN 47401-4173
Phone 812-332-0052 · Fax 812-332-0128
Authorized official
Todd Mitchell Whitlock
President
8123320052
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