Southern Illinois Oral & Maxillofacial Surgery, Ltd. in Belleville - Oral And Maxillofacial Surgery
Southern Illinois Oral & Maxillofacial Surgery, Ltd. - NPI 1538180617
Southern Illinois Oral & Maxillofacial Surgery, Ltd. is a Oral And Maxillofacial Surgery in Belleville, Illinois. Southern Illinois Oral & Maxillofacial Surgery, Ltd. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Southern Illinois Oral & Maxillofacial Surgery, Ltd. is 1538180617. The last update date is 2014-11-24.
Southern Illinois Oral & Maxillofacial Surgery, Ltd.'s current location address is 2900 Frank Scott Pkwy W, Belleville, Illinois. You can contact this provider via phone number 6182338080 and fax number 6182331192. The mailing address for Southern Illinois Oral & Maxillofacial Surgery, Ltd. is 2900 Frank Scott Pkwy W, Belleville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Oral & Maxillofacial Surgery, Ltd. |
|---|---|
| Address | 2900 Frank Scott Pkwy W, Belleville, Illinois |
| Phone Number | 6182338080 |
| Fax Number | 6182331192 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hesterberg R. Michael |
| Credentials | D.M.D. |
| Telephone Number | 6182338080 |
NPI Number Detail
| NPI Number | 1538180617 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2014-11-24 |
Provider Mailing Address Detail
| Address | 2900 Frank Scott Pkwy W |
|---|---|
| City | Belleville |
| State | Illinois (IL) |
| Post Code | 622235000 |
| Phone Number | 6182338080 |
| Fax Number | 6182331192 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 021-001364 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southern Illinois Oral & Maxillofacial Surgery, Ltd. by the Centers for Medicare & Medicaid Services?
The Southern Illinois Oral & Maxillofacial Surgery, Ltd. has been assigned the NPI (National Provider Identifier) 1538180617 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Southern Illinois Oral & Maxillofacial Surgery, Ltd.'s facilities are situated?
The facilities of Southern Illinois Oral & Maxillofacial Surgery, Ltd. are physically located at the following address: 2900 Frank Scott Pkwy W, Belleville, IL, 622235000.
What is Southern Illinois Oral & Maxillofacial Surgery, Ltd.'s area of expertise and its corresponding taxonomy classification?
The Southern Illinois Oral & Maxillofacial Surgery, Ltd.'s field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
When did the Southern Illinois Oral & Maxillofacial Surgery, Ltd. receive its 1538180617?
The Southern Illinois Oral & Maxillofacial Surgery, Ltd. was issued its 1538180617 on 2006-07-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Southern Illinois Oral & Maxillofacial Surgery, Ltd. most recently updated?
The details pertaining to the Southern Illinois Oral & Maxillofacial Surgery, Ltd., including its address, specialty, and other relevant information, were last refreshed on 2014-11-24.