Individual provider · Type 1 NPI

Thomas Charles Ocheltree Jr., DMD

Oral and Maxillofacial Surgery (Dentist) · Bloomington, IL

NPI number 1205892973 Active

Practice location

109 N Regency Dr
Bloomington, IL 61701-3515

Call (309) 663-2526 Map

Fax (309) 663-4788

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X019025084 (IL)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1205892973

Thomas Charles Ocheltree Jr., DMD's National Provider Identifier is 1205892973, issued on Apr 21, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bloomington, IL. The record was last updated on Apr 6, 2026.