Central Illinois Oral and Maxillofacial Surgery, PC

NPI #1891843595 in Effingham, Illinois

Provider Information

NPI Number
1891843595
Entity Type
Organization
Organization Name
Central Illinois Oral and Maxillofacial Surgery, PC
Subpart
Yes (part of a larger organization)
Parent Organization
CENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jan 8, 2007
Last Updated
Jun 29, 2023

Practice Location

Address
1200 NETWORK CENTRE DR
Address 2
SUITE B
ZIP Code
62401-4637
Phone
(217) 540-5800

Authorized Official

Name
AMY KROEGER
Title
INS COODINATOR
Phone
(217) 540-5100

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Organizations

Provider Name
The Center for Jaw and Facial Surgery, P.c.NewBizBotAI Deep Dive
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