Organization · Type 2 NPI

Central Illinois Oral and Maxillofacial Surgery, PC

Oral and Maxillofacial Surgery (Dentist) · Effingham, IL

NPI number 1891843595 Active

Practice location

1200 Network Centre Dr, Suite B
Effingham, IL 62401-4637

Call (217) 540-5800 Map

Fax (217) 342-2557

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X019-024942 (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.

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About NPI 1891843595

Central Illinois Oral and Maxillofacial Surgery, PC's National Provider Identifier is 1891843595, issued on Jan 8, 2007. 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 Jun 29, 2023.