Bloomington Oral Surgery

Oral surgery practice in Bloomington, IN

Registered specialist

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Public-record details

Address: 1116 S College Mall Rd, Bloomington, IN 47401
Phone: (812) 332-2204
Listed under: Oral & maxillofacial surgeons, Specialty practices
NPI: 1891350575
NPI status: Active in the NPPES registry
Provider type: Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy): Oral and Maxillofacial Surgery (1223S0112X)
Authorized official: Timothy Devitt, DMD, Owner/oral Surgeon
NPI first issued: May 7, 2019
NPI record last updated: May 7, 2019

NPI 1891350575 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1891350575 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.

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