Applewhite Dental Illinois, P.c.
NPI #1548022049 in Bloomington, Illinois
Provider Information
- NPI Number
- 1548022049
- Entity Type
- Organization
- Organization Name
- Applewhite Dental Illinois, P.c.
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 29, 2024
- Last Updated
- Jan 29, 2024
Practice Location
- Address
- 109 N WILLIAMSBURG DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3528
- Phone
- (309) 662-3123
Authorized Official
- Name
- TY JUSTICE
- Title
- DIRECTOR, CREDENTIALING & PROVIDER
- Phone
- (513) 808-4984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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