Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd in Peoria - Oral And Maxillofacial Surgery
Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd - NPI 1154357291
Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is a Oral And Maxillofacial Surgery in Peoria, Illinois. Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is 1154357291. The last update date is 2020-08-22.
Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd's current location address is 2807 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096821213 and fax number 3096825386. The mailing address for Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is 2807 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd |
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Address | 2807 N Knoxville Ave, Peoria, Illinois |
Phone Number | 3096821213 |
Fax Number | 3096825386 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Otten J John |
Credentials | M.D., D.D. |
Telephone Number | 3096821213 |
NPI Number Detail
NPI Number | 1154357291 |
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Provider Enumeration Date | 2006-06-23 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2807 N Knoxville Ave |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616042869 |
Phone Number | 3096821213 |
Fax Number | 3096825386 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
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. |
Post Comment/ Review Below
What is the unique identifier code issued to Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd by the Centers for Medicare & Medicaid Services (CMS)?
The Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd has been assigned the NPI (National Provider Identifier) 1154357291. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is physically located?
The Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is situated at the following address: 2807 N Knoxville Ave, Peoria, IL 616042869.
What is Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd's area of expertise and its corresponding taxonomy classification?
The Associated Oral And Maxillofacial Surgeons Of Peoria, 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 Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd receive its 1154357291 assignment?
The Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd was assigned its 1154357291 on 2006-06-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.