MEDICARE: DR. BASTIAN ANDRES ROJAS ESPINOZA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	12836	CT
2	1223G0001X	General Practice Dentistry	019.033929	IL

General Provider Information

NPI Number	:	1780292680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BASTIAN ANDRES ROJAS ESPINOZA DDS

Provider Business Mailing Address
First Line	:	1507 N VETERANS PKWY STE 1
Second Line	:
City	:	BLOOMINGTON
State	:	IL
Zip	:	61704-0916
Country	:	US
Telephone Number	:	309-664-6666
Fax Number	:

Provider Business Practice Location Address
First Line	:	1507 N VETERANS PKWY STE 1
Second Line	:
City	:	BLOOMINGTON
State	:	IL
Zip	:	61704-0916
Country	:	US
Telephone Number	:	309-664-6666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2020
Last Update Date	:	09/16/2022

Similar Medicare Providers

1215861182 — DR. NIKOLA PETROVIC DMD
Practice Location Address:

1507 N VETERANS PKWY STE 2
BLOOMINGTON, IL
61704-0916

Practice Phone: 309-490-8089
Practice Fax:

1992956148 — DR. ERIC D SALUD DDS
Practice Location Address:

1507 N VETERANS PKWY STE 2
BLOOMINGTON, IL
61704-0916

Practice Phone: 309-661-0197
Practice Fax:

1982835302 — TERENCE J WHITAKER DMD
Practice Location Address:

1507 N VETERANS PKWY STE 2
BLOOMINGTON, IL
61704-0916

Practice Phone: 309-661-0197
Practice Fax: 309-661-0486

1194046128 — DR. NEVA L. BELKHAM DDS
Practice Location Address:

1507 N VETERANS PKWY STE 2
BLOOMINGTON, IL
61704-0916

Practice Phone: 309-661-0197
Practice Fax: 309-661-0486

1821921891 — SYDNEY KUNKEL
Practice Location Address:

507 N HERSHEY RD STE A
BLOOMINGTON, IL
61704-3744

Practice Phone: 309-598-1697
Practice Fax:

1710493770 — DR. ALEXANDER PERRY WILLETT PSYD
Practice Location Address:

808 S ELDORADO RD STE 102
BLOOMINGTON, IL
61704-6075

Practice Phone: 309-706-3190
Practice Fax: 309-588-4115

Directions to “ DR. BASTIAN ANDRES ROJAS ESPINOZA DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.