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Southern Illinois Oral & Maxillofacial Surgery, Ltd.
Oral and Maxillofacial Surgery (Dentist) in Belleville, Illinois
NPI 1538180617

Southern Illinois Oral & Maxillofacial Surgery, Ltd. is a Oral and Maxillofacial Surgery (Dentist) based in Belleville, IL and is specialized in Oral and Maxillofacial Surgery. Southern Illinois Oral & Maxillofacial Surgery, Ltd. practices in Belleville, IL. The NPI Number for Southern Illinois Oral & Maxillofacial Surgery, Ltd. is 1538180617 and holds a License No. 021-001364 (Illinois).

The current practice location address for Southern Illinois Oral & Maxillofacial Surgery, Ltd. is 2900 Frank Scott Pkwy W, Belleville, IL and can be reached out via phone at 618-233-8080 and via fax at 618-233-1192.

Location: 2900 Frank Scott Pkwy W, Belleville, IL, 62223-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538180617
Provider Name
Southern Illinois Oral & Maxillofacial Surgery, Ltd.
Credential
Provider Entity Type
Organization
Address
2900 Frank Scott Pkwy W, Belleville, IL, 62223-5000
Phone Number
618-233-8080
Fax Number
618-233-1192
Provider Enumeration Date
07/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2900 Frank Scott Pkwy W
City
Belleville
State
Illinois
Zip
62223-5000
Phone Number
618-233-8080
Fax Number
618-233-1192
person
Provider Business Mailing Address Details
Address
2900 Frank Scott Pkwy W
City
Belleville
State
Illinois
Zip
62223-5000
Phone Number
618-233-8080
Fax Number
618-233-1192
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
021-001364 (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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