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Active NPI 1225241011 Individual Practitioner Male Practitioner

Dr. John Peter Vanscoyoc , DDS

Dentist - General Practice • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Dr. John Vanscoyoc, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bloomington, IL. Practice services are available at 908 N HERSHEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

908 N Hershey Rd
Suite2

Bloomington, IL 617043730

Telephone 3096640570
Fax 3096646612
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Bloomington, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 19-23614

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental License Number
19-23614 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Stacey Van Scoyoc , DDS

Dentist - General Practice

NPI 1194933283

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 908 N HERSHEY RD, SUITE2, BLOOMINGTON, IL 617043730 (Tel: 3096640570)

📍
Updated Business Mailing Address July 08, 2007

Registered at 908 N HERSHEY RD, SUITE2, BLOOMINGTON, IL 617043730 (Tel: 3096640570)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN VANSCOYOC, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19-23614 in IL)

🟢
Initial NPI Registration & Enumeration May 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225241011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

908 N Hershey Rd, Suite2

Bloomington, IL 617043730

Phone: 3096640570

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.