Organization · Type 2 NPI
Central Illinois Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) · Effingham, IL
NPI number
1679733976
Active
Practice location
1200 Network Centre Dr Ste A
Effingham, IL 62401-4637
Fax (877) 635-3298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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.
Other oral and maxillofacial surgery (dentist) providers in Effingham
About NPI 1679733976
Central Illinois Oral & Maxillofacial Surgery's National Provider Identifier is 1679733976, issued on Jun 11, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Effingham, IL. The record was last updated on Nov 12, 2008.