Individual provider · Type 1 NPI
Robert John Busch, DMD MD
Oral and Maxillofacial Surgery (Dentist) · Peoria, IL
NPI number
1467669762
Active
Practice location
2807 N Knoxville Ave
Peoria, IL 61604-2869
Fax (309) 682-1213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 0021934 (TX) |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10028831 (TX) |
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.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Peoria
About NPI 1467669762
Robert John Busch, DMD MD's National Provider Identifier is 1467669762, issued on May 17, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Peoria, IL. The record was last updated on Aug 12, 2015.