Shawnee Hills Oral & Maxillofacial Surgery

NPI #1457887168 in Glen Carbon, Illinois

Provider Information

NPI Number
1457887168
Entity Type
Organization
Organization Name
Shawnee Hills Oral & Maxillofacial Surgery
Subpart
Yes (part of a larger organization)
Parent Organization
SHAWNEE HILLS ORAL & MAXILLOFACIAL SURGERY, PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
May 2, 2017
Last Updated
May 2, 2017

Practice Location

Address
2246 S STATE ROUTE 157
Address 2
SUITE 325
ZIP Code
62034-1717
Phone
(618) 288-8770

Authorized Official

Name
DR. JONATHAN W BURTON, DMD
Title
PRESIDENT
Phone
(618) 288-8770

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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