Applewhite Dental Illinois, P.c.
Dental Clinic
109 N Williamsburg Dr, Bloomington
Illinois, 61704-3528
309-662-3123 309-661-0798
Maps & DirectionsApplewhite Dental Illinois, P.c. is a Dental Clinic in Bloomington, Illinois. It is located at 109 N Williamsburg Dr, Bloomington, IL and its contact number is 309-662-3123. The authorized person for Applewhite Dental Illinois, P.c. is Ty Justice
who is Director, Credentialing & Provider of the clinic and their contact number is 513-808-4984.
Applewhite Dental Illinois, P.c. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Applewhite Dental Illinois, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Applewhite Dental Illinois, P.c. |
| Specialization: | Dentistry |
| Clinic Address: | 109 N Williamsburg Dr, Bloomington,
Illinois, 61704-3528 |
| Phone: | 309-662-3123 |
| Fax: | 309-661-0798 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ty Justice |
| Position: | Director, Credentialing & Provider |
| Contact Number: | 513-808-4984 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Applewhite Dental Illinois, P.c. clinic are as mentioned below.
| NPI Number: | 1548022049 |
| NPI Enumeration Date: | 29 Jan, 2024 |
| NPI Last Update On: | 29 Jan, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Applewhite Dental Illinois, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
| General Practice | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Applewhite Dental Illinois, P.c.
9825 Kenwood Rd Ste 200,
Blue Ash, Ohio |
| Zip: | 45242-6252 |
| Phone Number: | 513-808-4984 |
| Fax Number: | 513-448-0511 |
Patients can reach Applewhite Dental Illinois, P.c. at
109 N Williamsburg Dr, Bloomington, Illinois or can
call to book an appointment on 309-662-3123.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.