Dr. Jack Capodice Jr.
MD, DMD | Oral and Maxillofacial Surgeon | 36+ years Exp
109 N Regency Dr, Bloomington
Illinois, 61701-3515
309-663-2526 309-663-4788
Maps & DirectionsDr. Jack Capodice Jr. is a Bloomington, Illinois based Oral and Maxillofacial Surgeon with
36 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
University Of Missouri, Columbia School Of Medicine in 1990. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jack Capodice Jr. is
019022744 for Oral and Maxillofacial Surgery in Illinois. His current practice location is
109 N Regency Dr, Bloomington. Patients can reach him at
309-663-2526.
Dr. Jack Capodice Jr. 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 Profile:
Dr. Jack Capodice Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jack Capodice Jr. |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | MD, DMD |
| Experience: | 36+ years |
| Medical School Attended: | University Of Missouri, Columbia School Of Medicine |
| Graduation Year: | 1990 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 109 N Regency Dr, Bloomington,
Illinois, 61701-3515 |
| Phone: | 309-663-2526 |
| Fax: | 309-663-4788 |
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 are as mentioned below.
| PAC ID: | 2668420860 |
| Enrollment ID: | I20050105000094 |
| NPI Number: | 1053397612 |
| NPI Enumeration Date: | 15 Dec, 2005 |
| NPI Last Update On: | 06 Apr, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack Capodice Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 019022744 | Oral and Maxillofacial Surgery | Illinois | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jack Capodice Jr. is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Drs Doran Capodice Efaw And Ocheltree Llc (5597713792) | 4 |
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 Dr. Jack Capodice Jr. at
109 N Regency Dr, Bloomington, Illinois or can
call to book an appointment on 309-663-2526.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 June, 2026.