ENDODONTISTS OF ILLINOIS
NPI 1396164398
Dentist - Endodontics in Bloomington, IL

Active since April 08, 2014
113 N REGENCY DR, BLOOMINGTON, IL 61701(309) 661-8900 Get Directions Write a Review

NPPES record last updated: April 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endodontists Of Illinois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENDODONTISTS OF ILLINOIS (NPI 1396164398) is a healthcare organization registered as an endodontics in Bloomington, Illinois and active in the NPI registry since April 2014. The organization lists Nathaniel Blake Swaar, Vice President, as its authorized official.

NPPES Registry Identity

NPI1396164398
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameENDODONTISTS OF ILLINOIS
Location Address113 N REGENCY DRBloomington, IL 61701-3515
Mailing Address113 N Regency DrBloomington, IL 61701-3515 · (309) 661-8900
Organization SubpartNo
Authorized OfficialNathaniel Blake SwaarVice President · (309) 661-8900
Enumeration DateApril 8, 2014
NPI 1396164398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in IL · 019028814
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
113 N REGENCY DR, Bloomington, IL 61701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
113 N REGENCY DR
BLOOMINGTON, IL 61701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Endodontists Of Illinois's NPI number?

The NPI number for Endodontists Of Illinois is 1396164398. It was assigned to this organization in the NPPES registry on April 8, 2014.

Where is Endodontists Of Illinois located?

Endodontists Of Illinois is located at 113 N Regency Dr, Bloomington, IL 61701. The listed phone number is (309) 661-8900.

What is Endodontists Of Illinois's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Endodontists Of Illinois was last updated on April 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.