Affiliates In Oral & Maxillofacial Surgery Ltd in Champaign - Oral And Maxillofacial Surgery
Affiliates In Oral & Maxillofacial Surgery Ltd - NPI 1215196290
Affiliates In Oral & Maxillofacial Surgery Ltd is a Oral And Maxillofacial Surgery in Champaign, Illinois. Affiliates In Oral & Maxillofacial Surgery Ltd practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Affiliates In Oral & Maxillofacial Surgery Ltd is 1215196290. The last update date is 2008-06-05.
Affiliates In Oral & Maxillofacial Surgery Ltd's current location address is 3112 Village Office Pl, Champaign, Illinois. You can contact this provider via phone number 2173517111 and fax number 2173517282. The mailing address for Affiliates In Oral & Maxillofacial Surgery Ltd is 3112 Village Office Pl, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Affiliates In Oral & Maxillofacial Surgery Ltd |
|---|---|
| Address | 3112 Village Office Pl, Champaign, Illinois |
| Phone Number | 2173517111 |
| Fax Number | 2173517282 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Banghart R. Philip |
| Credentials | DDS |
| Telephone Number | 2173517111 |
NPI Number Detail
| NPI Number | 1215196290 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 3112 Village Office Pl |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618227680 |
| Phone Number | 2173517111 |
| Fax Number | 2173517282 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 19021176 |
|
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 identifier code issued to Affiliates In Oral & Maxillofacial Surgery Ltd by the Centers for Medicare & Medicaid Services (CMS)?
The Affiliates In Oral & Maxillofacial Surgery Ltd has been assigned the NPI (National Provider Identifier) 1215196290. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Affiliates In Oral & Maxillofacial Surgery Ltd?
The Affiliates In Oral & Maxillofacial Surgery Ltd is physically situated at 3112 Village Office Pl, in the city of Champaign, state of IL, with the postal code 618227680.
What is Affiliates In Oral & Maxillofacial Surgery Ltd's area of expertise and its corresponding taxonomy classification?
The Affiliates In 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.
On what date did the Affiliates In Oral & Maxillofacial Surgery Ltd receive the assignment of its 1215196290 from the Centers for Medicare & Medicaid Services?
The Affiliates In Oral & Maxillofacial Surgery Ltd was issued its 1215196290 by the Centers for Medicare & Medicaid Services on 2008-06-05.
When was the information related to Affiliates In Oral & Maxillofacial Surgery Ltd most recently updated or refreshed?
The details pertaining to the Affiliates In Oral & Maxillofacial Surgery Ltd, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-05.