Organization · Type 2 NPI
Affiliates In Oral & Maxillofacial Surgery Ltd
Oral and Maxillofacial Surgery (Dentist) · Champaign, IL
NPI number
1215196290
Active
Practice location
3112 Village Office Pl
Champaign, IL 61822-7680
Fax (217) 351-7282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019021176 (IL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Champaign
About NPI 1215196290
Affiliates In Oral & Maxillofacial Surgery Ltd's National Provider Identifier is 1215196290, issued on Jun 5, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Champaign, IL. The record was last updated on Jun 5, 2008.