location
search-icon
institution
Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd
Oral and Maxillofacial Surgery (Dentist) in Peoria, Illinois
NPI 1154357291

Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is a Oral and Maxillofacial Surgery (Dentist) based in Peoria, IL and is specialized in Oral and Maxillofacial Surgery. Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd practices in Peoria, IL. The NPI Number for Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is 1154357291 and holds a License No. 019023700 (Illinois).

The current practice location address for Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is 5720 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-682-1213 and via fax at 309-682-5386.

Location: 5720 N Knoxville Ave, Peoria, IL, 61614-4331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154357291
Provider Name
Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd
Credential
Provider Entity Type
Organization
Address
5720 N Knoxville Ave, Peoria, IL, 61614-4331
Phone Number
309-682-1213
Fax Number
309-682-5386
Provider Enumeration Date
06/23/2006
Last Update Date
11/16/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
019024407 01 IL LARRY D. OTTE LICENSE NUM
019023700 01 IL JOHN J. OTTEN LICENSE NUM
institution
Provider Business Practice Location Address Details
Address
5720 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-4331
Phone Number
309-682-1213
Fax Number
309-682-5386
person
Provider Business Mailing Address Details
Address
5720 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-4331
Phone Number
309-682-1213
Fax Number
309-682-5386
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019023700 (Illinois)
Definition
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.