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Central Illinois Oral And Maxillofacial Surgery, Pc
Oral and Maxillofacial Surgery (Dentist) in Effingham, Illinois
NPI 1891843595

Central Illinois Oral And Maxillofacial Surgery, Pc is a Oral and Maxillofacial Surgery (Dentist) based in Effingham, IL and is specialized in Oral and Maxillofacial Surgery. Central Illinois Oral And Maxillofacial Surgery, Pc practices in Effingham, IL. The NPI Number for Central Illinois Oral And Maxillofacial Surgery, Pc is 1891843595 and holds a License No. 019-024942 (Illinois).

The current practice location address for Central Illinois Oral And Maxillofacial Surgery, Pc is 1200 Network Centre Dr, Effingham, IL and can be reached out via phone at 217-540-5800 and via fax at 217-342-2557.

Location: 1200 Network Centre Dr, Effingham, IL, 62401-4637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891843595
Provider Name
Central Illinois Oral And Maxillofacial Surgery, Pc
Credential
Provider Entity Type
Organization
Address
1200 Network Centre Dr, Effingham, IL, 62401-4637
Phone Number
217-540-5800
Fax Number
217-342-2557
Provider Enumeration Date
01/08/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1014426 05 IL
institution
Provider Business Practice Location Address Details
Address
1200 Network Centre Dr
City
Effingham
State
Illinois
Zip
62401-4637
Phone Number
217-540-5800
Fax Number
217-342-2557
person
Provider Business Mailing Address Details
Address
1200 Network Centre Dr
City
Effingham
State
Illinois
Zip
62401-4637
Phone Number
217-540-5800
Fax Number
217-342-2557
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019-024942 (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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