DR. JACK CAPODICE JR., MD, DMD

Dentist - Oral and Maxillofacial Pathology

Active Individual
NPI: 1053397612

Practice Address

109 N REGENCY DR
Bloomington, IL 61701

Phone: (309) 663-2526

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Pathology 1223P0106X Yes 019022744 (IL)

Frequently Asked Questions

NPI 1053397612 is the National Provider Identifier for DR. JACK CAPODICE JR., MD, DMD, a Dentist - Oral and Maxillofacial Pathology provider located in Bloomington, IL. This NPI was enumerated on December 15, 2005.
DR. JACK CAPODICE JR., MD, DMD practices at 109 N REGENCY DR, Bloomington, IL 61701.

Quick Facts

NPI
1053397612
Type
Individual
Enumerated
Dec 15, 2005
Last Updated
Mar 7, 2023

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