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

Capodice, Efaw, Ocheltree & Elger PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1710985759

Capodice, Efaw, Ocheltree & Elger PLLC is an Oral and Maxillofacial Surgery (Dentist) in Bloomington, Illinois. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 N Regency Dr
Bloomington, IL 61701-3515
Phone: (309) 663-2526
Fax: (309) 663-4788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
Specialist Taxonomy 174400000X
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X

Record details

NPI number1710985759
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCapodice, Efaw, Ocheltree & Elger PLLC
Authorized official Kyndra Bata — Office Manager · (309) 663-2526
Other names Drs Doran Capodice Efaw & Ocheltree Llc
NPI enumeratedJuly 13, 2005
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address109 N Regency Dr, Bloomington, IL 61701-3515

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