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APPLEWHITE DENTAL ILLINOIS, P.C.
NPI 1548022049
Dentist in Bloomington, IL

Active since January 29, 2024
109 N WILLIAMSBURG DR, BLOOMINGTON, IL 61704(309) 662-3123(309) 661-0798 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Applewhite Dental Illinois, P.c. NPPES

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

APPLEWHITE DENTAL ILLINOIS, P.C. (NPI 1548022049), doing business as Signature Dental Experience, is a healthcare organization registered as a dentist in Bloomington, Illinois and active in the NPI registry since January 2024. The organization lists Ty Justice, Director, Credentialing & Provider, as its authorized official.

NPPES Registry Identity

NPI1548022049
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameAPPLEWHITE DENTAL ILLINOIS, P.C.
Location Address109 N WILLIAMSBURG DRBloomington, IL 61704-3528
Mailing Address9825 Kenwood Rd Ste 200Blue Ash, OH 45242-6252 · (513) 808-4984 · Fax (513) 448-0511
Phone(309) 662-3123
Fax(309) 661-0798
Organization SubpartNo
Authorized OfficialTy JusticeDirector, Credentialing & Provider · (513) 808-4984
Enumeration DateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1548022049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
109 N WILLIAMSBURG DR, Bloomington, IL 61704
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Other Names 1

Doing Business AsSignature Dental Experience

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. VIJEYTA BHATIA DDS
Dentist
109 N WILLIAMSBURG DR
BLOOMINGTON, IL 61704
McLean County (309) 662-3123
DR. NEZAR AHMED KASSEM D.D.S.
Dentist (General Practice)
109 N WILLIAMSBURG DR
BLOOMINGTON, IL 61704
McLean County (309) 662-3123

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 Applewhite Dental Illinois, P.C.'s NPI number?

The NPI number for Applewhite Dental Illinois, P.C. is 1548022049. It was assigned to this organization in the NPPES registry on January 29, 2024. The provider is doing business as Signature Dental Experience.

Where is Applewhite Dental Illinois, P.C. located?

Applewhite Dental Illinois, P.C. is located at 109 N Williamsburg Dr, Bloomington, IL 61704. The listed phone number is (309) 662-3123.

What is Applewhite Dental Illinois, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Applewhite Dental Illinois, P.C. accept?

Health plans from UnitedHealthcare list Applewhite Dental Illinois, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Applewhite Dental Illinois, P.C. was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.