Center for Oral and Maxillofacial Surgery, P.c.
NPI #1801000443 in Belleville, Illinois
Provider Information
- NPI Number
- 1801000443
- Entity Type
- Organization
- Organization Name
- Center for Oral and Maxillofacial Surgery, P.c.
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- May 10, 2007
- Last Updated
- Jun 3, 2011
Practice Location
- Address
- 10200 W MAIN ST
- Address 2
- SIGNAL HILL MEDICAL BLDG
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-1408
- Phone
- (618) 397-2464
Authorized Official
- Name
- DR. GLENN A MILLER, DDS MS
- Title
- ORAL & MAXILLOFACIAL SURGEON
- Phone
- (618) 387-2464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Oral & Maxillofacial Surgery |
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