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

Dr. Thomas Charles Ocheltree Jr., DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1205892973

Dr. Thomas Charles Ocheltree Jr., DMD is an Oral Surgery in Bloomington, Illinois. Qualified in 1999, 27 years ago. Practices with Capodice Efaw Ocheltree and Elger PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2006
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
Fax: (309) 663-4788
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 019025084 (IL)

Record details

NPI number1205892973
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 21, 2006
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Capodice Efaw Ocheltree And Elger Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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