is a Oral and Maxillofacial Dental Clinic in Bloomington, Illinois. This organization is also known as sub part of Capodice, Efaw, Ocheltree & Elger Pllc. It is located at 109 N Regency Dr, Bloomington, IL and its contact number is 309-663-2526. The authorized person for is Mrs. Kyndra Bata
who is Office Manager of the clinic and their contact number is 309-663-2526. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
109 N Regency Dr, Bloomington, Illinois, 61701-3515
Phone:
309-663-2526
Fax:
309-663-4788
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:
Mrs. Kyndra Bata
Position:
Office Manager
Contact Number:
309-663-2526
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 clinic are as mentioned below.
NPI Number:
1710985759
Parent Organization:
Capodice, Efaw, Ocheltree & Elger Pllc
NPI Enumeration Date:
13 Jul, 2005
NPI Last Update On:
20 Dec, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
Primary
Specialist
Secondary
Oral & Maxillofacial Surgery
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:
109 N Regency Dr, Bloomington, Illinois
Zip:
61701-3515
Phone Number:
309-663-2526
Fax Number:
309-663-4788
Patients can reach at 109 N Regency Dr, Bloomington, Illinois or can call to book an appointment on 309-663-2526. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.