Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Applewhite Dental Illinois, PC

Organization Dentist · NPI 1548022049

Applewhite Dental Illinois, PC is a Dentist in Bloomington, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

109 N Williamsburg Dr
Bloomington, IL 61704-3528
Phone: (309) 662-3123
Fax: (309) 661-0798
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1548022049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Justice — Director, Credentialing & Provider · (513) 808-4984
Other names Signature Dental Experience
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address9825 Kenwood Rd Ste 200, Blue Ash, OH 45242-6252

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