OrganizationActive
Applewhite Dental Illinois, P.C.
NPI 1548022049 · Dentist · Bloomington, IL
Applewhite Dental Illinois, P.C. is a Dentist organization in Bloomington, IL (NPI 1548022049).
Provider details
- NPI number
- 1548022049
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ty Justice, Director, Credentialing & Provider(513) 808-4984
Specialties & taxonomies
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 N Williamsburg Dr
Bloomington, IL 61704-3528
Phone: (309) 662-3123
Fax: (309) 661-0798
Street-level locationGet directions
Mailing address
9825 Kenwood Rd Ste 200
Blue Ash, OH 45242-6252
Other names (DBA / former)
- Doing business as
- Signature Dental Experience
Registry dates
- Enumerated
- 2024-01-29
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Frequently asked questions
- What is Applewhite Dental Illinois, P.C.'s NPI number?
- Applewhite Dental Illinois, P.C.'s National Provider Identifier (NPI) is 1548022049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Applewhite Dental Illinois, P.C.?
- Applewhite Dental Illinois, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Applewhite Dental Illinois, P.C. located?
- Applewhite Dental Illinois, P.C.'s practice location on file with NPPES is 109 N Williamsburg Dr, Bloomington, IL 61704-3528.
- What is Applewhite Dental Illinois, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Applewhite Dental Illinois, P.C. is (309) 662-3123.
- Who is the authorized official for Applewhite Dental Illinois, P.C.?
- The authorized official listed on Applewhite Dental Illinois, P.C.'s NPPES record is Ty Justice, Director, Credentialing & Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Applewhite Dental Illinois, P.C.'s NPI active?
- Yes — Applewhite Dental Illinois, P.C.'s NPI (1548022049) is active in the NPPES registry as of the last update on 2024-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.