DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THOMAS CHARLES OCHELTREE JR., DMD

Active

DR. THOMAS CHARLES OCHELTREE JR., DMD is a Orthodontics & Dentofacial Orthopedics healthcare provider located in BLOOMINGTON, Illinois. NPI 1205892973 is currently active in the NPPES registry. Verify at CMS.

Orthodontics & Dentofacial Orthopedics · BLOOMINGTON, IL

Registration Details

NPI Number
1205892973
Provider Type
Individual
Gender
Male
NPI Issued
Apr 21, 2006 (20.348987260743 yrs)
Last Updated
Aug 16, 2022
Licenses
019025084 (IL)
019025084 (IL)

Practice Information

Address
109 N REGENCY DR
BLOOMINGTON, IL, 617013515
Browse IL providers · Browse ZIP 61701
Phone
3096632526
Fax
3096634788
Primary Specialty
Orthodontics & Dentofacial Orthopedics
1223P0106X

Other Orthodontics & Dentofacial Orthopedics Providers in BLOOMINGTON, IL

Name Credential NPI
DR. JACK CAPODICE JR. MD, DMD 1053397612
DR. DAVID EFAW MD, DDS 1700862877
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.