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Shawnee Hills Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) in Glen Carbon, Illinois
NPI 1457887168

Shawnee Hills Oral & Maxillofacial Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Glen Carbon, IL and is specialized in Oral and Maxillofacial Surgery. Shawnee Hills Oral & Maxillofacial Surgery practices in Glen Carbon, IL. The NPI Number for Shawnee Hills Oral & Maxillofacial Surgery is 1457887168 and holds a License No. 019026124 (Illinois).

The current practice location address for Shawnee Hills Oral & Maxillofacial Surgery is 2246 S State Route 157, Glen Carbon, IL and can be reached out via phone at 618-288-8770 and via fax at 618-288-8782.

Location: 2246 S State Route 157, Glen Carbon, IL, 62034-1717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457887168
Provider Name
Shawnee Hills Oral & Maxillofacial Surgery
Credential
Provider Entity Type
Organization
Address
2246 S State Route 157, Glen Carbon, IL, 62034-1717
Phone Number
618-288-8770
Fax Number
618-288-8782
Provider Enumeration Date
05/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2246 S State Route 157
City
Glen Carbon
State
Illinois
Zip
62034-1717
Phone Number
618-288-8770
Fax Number
618-288-8782
person
Provider Business Mailing Address Details
Address
2246 S State Route 157
City
Glen Carbon
State
Illinois
Zip
62034-1717
Phone Number
618-288-8770
Fax Number
618-288-8782
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019026124 (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.
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