Bluff Creek Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010995A Issued in IN

Legal business name

BLUFF CREEK FAMILY DENTAL

Practice address

9351 State Road 144
Martinsville, IN 46151-5848

Phone

(317) 422-4944

NPI assigned

Sep 23, 2008

Last updated

Sep 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kirk Andrew Yegerlehner, D.D.S.NPI 1730386798

Title

President/Owner

Phone

(317) 422-4944

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirk Andrew Yegerlehner, D.D.S.

  • General Practice Dentistry
  • Martinsville, IN
  • NPI 1730386798
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1386894756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 STATE ROAD 144",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461515848",
            "telephone_number": "317-422-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 STATE ROAD 144",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461515848",
            "telephone_number": "317-422-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF CREEK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "YEGERLEHNER",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-422-4944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010995A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy R Bell, LCSW
• Debra M Berg, APRN, BC
• Alice Marie Bishop
• Haley Blakely
• Bloomington Oral & Maxillofacial Surgery (Martinsville Oral & Maxillofacial Surgery)
• Riley Boer
• John D Bowman
• Jon P Bowman, HIS
• James Branam, LMHC
• Kelley Sue Branchfield V

• General Practice Dentistry in Martinsville, IN
• Providers in Martinsville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.