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Dr. Thomas Charles Ocheltree JR., DMD
Oral and Maxillofacial Pathology Dentist in Bloomington, Illinois
NPI 1205892973

Thomas Charles Ocheltree JR. is a Oral and Maxillofacial Pathology Dentist based in Bloomington, IL and is specialized in Oral and Maxillofacial Pathology. Thomas Charles Ocheltree JR. practices in Bloomington, IL and has the professional credentials of DMD. The NPI Number for Thomas Charles Ocheltree JR. is 1205892973 and holds a License No. 019025084 (Illinois).

The current practice location address for Thomas Charles Ocheltree JR. is 109 N Regency Dr, Bloomington, IL and can be reached out via phone at 309-663-2526 and via fax at 309-663-4788.

Location: 109 N Regency Dr, Bloomington, IL, 61701-3515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205892973
Provider Name
Thomas Charles Ocheltree JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
109 N Regency Dr, Bloomington, IL, 61701-3515
Phone Number
309-663-2526
Fax Number
309-663-4788
Provider Enumeration Date
04/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019025084 01 IL DENTAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
109 N Regency Dr
City
Bloomington
State
Illinois
Zip
61701-3515
Phone Number
309-663-2526
Fax Number
309-663-4788
person
Provider Business Mailing Address Details
Address
109 N Regency Dr
City
Bloomington
State
Illinois
Zip
61701-3515
Phone Number
309-663-2526
Fax Number
309-663-4788
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Pathology
Taxonomy
1223P0106X
License No.
019025084 (Illinois)
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019025084 (Illinois)
Definition
The specialty of dentistry which includes 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.
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institution
Capodice, Efaw, Ocheltree & Elger Pllc
NPI 1710985759
Oral and Maxillofacial Pathology Dentist
109 N Regency Dr,
BLOOMINGTON, IL
61701-3515
309-663-2526
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