DR. ANTHONY MITCHELL ELGER


Address: 109 N Regency Dr, Bloomington, IL 61701-3515
Phone: 3096632526

DR. ANTHONY MITCHELL ELGER (NPI# 1114363579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114363579
Entity Type Individual
Full Name DR. ANTHONY MITCHELL ELGER
Credential DMD
Practice Address 109 N Regency Dr
Bloomington
IL 61701-3515
Practice Telephone 3096632526
Practice Fax Number 3096634788
Mailing Telephone 3096632526
Mailing Fax Number 3096634788
Enumeration Date 2013-05-13
Last Update Date 2019-08-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
01902926 IL Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
01902926 IL Dental Providers

Office Location

Street Address 109 N REGENCY DR
City BLOOMINGTON
State IL
Zip Code 61701-3515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710985759 Drs Doran Capodice Efaw & Ocheltree LLC Dentist 109 N Regency Dr, Bloomington, IL 61701-3515 2005-07-13
1205892973 Thomas Charles Ocheltree Jr. Dentist 109 N Regency Dr, Bloomington, IL 61701-3515 2006-04-21
1700862877 David Efaw Dentist 109 N Regency Dr, Bloomington, IL 61701-3515 2005-12-20
1376529750 Stephen N Doran Dentist 109 N Regency Dr, Bloomington, IL 61701-3515 2005-12-19
1053397612 Jack Capodice Jr. Dentist 109 N Regency Dr, Bloomington, IL 61701-3515 2005-12-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
Find all providers in zip 61701

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568878270 Austin Starr Dentist 473 S Landmark Ave, Bloomington, IN 47403-5005 2014-07-02
1669533964 Richard J Claydon Dentist 107 S Prospect, Bloomington, IL 61704 2006-12-12
1528166097 Scott Eric Tate Dentist 637 S Walker St, Ste 1, Bloomington, IN 47403-2154 2006-09-20
1497798136 Thomas W Gibbs Dentist 857 Auto Mall Rd, Bloomington, IN 47440-5447 2006-06-13
1164475323 Timothy J Devitt Dentist 1116 S College Mall Rd, Bloomington, IN 47401-6178 2006-05-18
1760461339 South Central Oral & Maxillofacial Surgery, LLC Dentist 2911 E Covenanter Dr, Suite B, Bloomington, IN 47401-6320 2006-01-12
1710985759 Drs Doran Capodice Efaw & Ocheltree LLC Dentist 109 N Regency Dr, Bloomington, IL 61701-3515 2005-07-13
1356978753 Starr Oral & Maxillofacial Surgery, LLC Dentist 473 S Landmark Ave, Bloomington, IN 47403-5005 2020-03-25
1891350575 Bloomington Oral Surgery Dentist 1116 S College Mall Rd, Bloomington, IN 47401-6178 2019-05-07
1841505252 Bloomington Oral Surgery LLC Dentist 857 S Auto Mall Rd, Bloomington, IN 47401-5447 2010-08-10
Find all providers in BLOOMINGTON

Competitor

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City BLOOMINGTON
Zip Code 61701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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