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

Dr. Taneenop Aramphongphan, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1750766358

Dr. Taneenop Aramphongphan, DMD is an Oral Surgery in Bloomington, Illinois. Graduated from Midwestern University College of Dental Medicine, Downers Grove in 2015, 11 years ago. Practices with Capodice Efaw Ocheltree and Elger PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Trained at
Midwestern University College of Dental Medicine, Downers Grove
Licensed in
IL
In the registry since
2015
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

109 N Regency Dr
Bloomington, IL 61701-3515
Phone: (309) 663-2526
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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 · Licence 019030316 (IL)

Record details

NPI number1750766358
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 23, 2015
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolMIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, DOWNERS GROVE
Graduated 2015 (11 years in practice)
Group practice Capodice Efaw Ocheltree And Elger Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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