Oral & Maxillofacial Surgeons of Central Illinois

NPI #1275663338 in Peoria, Illinois

Provider Information

NPI Number: 1275663338
Entity Type: Organization
Organization Name: Oral & Maxillofacial Surgeons of Central Illinois
Primary Specialty: Dentist
Enumeration Date: Mar 7, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 5009 A EXECUTIVE DR
City: Peoria
State: Illinois
ZIP Code: 61614-4866
Phone: (309) 693-1200

Authorized Official

Name: DR. ROBERT WILLIAM YOUNG, DMD
Title: ORAL AND MAXILLOFACIAL SURGEON
Phone: (309) 693-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist	122300000X	Primary

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