Central Illinois Oral And Maxillofacial Surgery, Pc in Effingham - Oral And Maxillofacial Surgery
Central Illinois Oral And Maxillofacial Surgery, Pc - NPI 1891843595
Central Illinois Oral And Maxillofacial Surgery, Pc is a Oral And Maxillofacial Surgery in Effingham, Illinois. Central Illinois Oral And Maxillofacial Surgery, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Central Illinois Oral And Maxillofacial Surgery, Pc is 1891843595. The last update date is 2023-06-29.
Central Illinois Oral And Maxillofacial Surgery, Pc's current location address is 1200 Network Centre Dr, Effingham, Illinois. You can contact this provider via phone number 2175405800 and fax number 2173422557. The mailing address for Central Illinois Oral And Maxillofacial Surgery, Pc is 1200 Network Centre Dr, Effingham, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Illinois Oral And Maxillofacial Surgery, Pc |
|---|---|
| Address | 1200 Network Centre Dr, Effingham, Illinois |
| Phone Number | 2175405800 |
| Fax Number | 2173422557 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COODIN |
|---|---|
| Authorized Official Name | Kroeger Amy |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1891843595 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2023-06-29 |
Provider Mailing Address Detail
| Address | 1200 Network Centre Dr |
|---|---|
| City | Effingham |
| State | Illinois (IL) |
| Post Code | 624014637 |
| Phone Number | 2175405800 |
| Fax Number | 2173422557 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 019-024942 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1014426 | IL | -- |
Post Comment/ Review Below
What is the Central Illinois Oral And Maxillofacial Surgery, Pc's unique identification number?
The Central Illinois Oral And Maxillofacial Surgery, Pc has been assigned the NPI (National Provider Identifier) Number 1891843595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Central Illinois Oral And Maxillofacial Surgery, Pc?
The Central Illinois Oral And Maxillofacial Surgery, Pc is situated at 1200 Network Centre Dr, in the city of Effingham, state of IL, with the zip code 624014637.
What is Central Illinois Oral And Maxillofacial Surgery, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Central Illinois Oral And Maxillofacial Surgery, Pc's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date was the 1891843595 assigned to Central Illinois Oral And Maxillofacial Surgery, Pc?
The Central Illinois Oral And Maxillofacial Surgery, Pc was issued its 1891843595 on 2007-01-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Central Illinois Oral And Maxillofacial Surgery, Pc's details last updated?
The information pertaining to the Central Illinois Oral And Maxillofacial Surgery, Pc, including its address, specialty, and other details, was most recently updated on 2023-06-29.
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