IndividualActive
David Efaw, MD, DDS
NPI 1700862877 · Oral and Maxillofacial Surgery (Dentist) · Bloomington, IL
Provider details
- NPI number
- 1700862877
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- MD, DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 019023548 (IL)
Specialties & taxonomies
Dental Providers
Practice location
109 N Regency Dr
Bloomington, IL 61701-3515
Phone: (309) 663-2526
Fax: (309) 663-4788
Approximate (ZIP-level) locationGet directions
Mailing address
109 N Regency Dr
Bloomington, IL 61701-3515
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.