Oral & Maxillofacial Surgeons Of Central Illinois in Peoria - Oral And Maxillofacial Surgery
Oral & Maxillofacial Surgeons Of Central Illinois - NPI 1275663338
Oral & Maxillofacial Surgeons Of Central Illinois is a Oral And Maxillofacial Surgery in Peoria, Illinois. Oral & Maxillofacial Surgeons Of Central Illinois practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral & Maxillofacial Surgeons Of Central Illinois is 1275663338. The last update date is 2020-08-22.
Oral & Maxillofacial Surgeons Of Central Illinois's current location address is 5009 A Executive Drive, Peoria, Illinois. You can contact this provider via phone number 3096931200 and fax number 3096939998. The mailing address for Oral & Maxillofacial Surgeons Of Central Illinois is 5009 A Executive Drive, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral & Maxillofacial Surgeons Of Central Illinois |
|---|---|
| Address | 5009 A Executive Drive, Peoria, Illinois |
| Phone Number | 3096931200 |
| Fax Number | 3096939998 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORAL AND M |
|---|---|
| Authorized Official Name | Young William Robert |
| Credentials | DMD |
| Telephone Number | 3096931200 |
NPI Number Detail
| NPI Number | 1275663338 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5009 A Executive Drive |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144866 |
| Phone Number | 3096931200 |
| Fax Number | 3096939998 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| 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. |
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What is the unique 10-digit identifier code issued to Oral & Maxillofacial Surgeons Of Central Illinois by the Centers for Medicare & Medicaid Services?
The Oral & Maxillofacial Surgeons Of Central Illinois has been assigned the NPI (National Provider Identifier) 1275663338 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Oral & Maxillofacial Surgeons Of Central Illinois's physical address?
The Oral & Maxillofacial Surgeons Of Central Illinois is physically located at 5009 A Executive Drive, in the city of Peoria, IL, with the postal code 616144866.
What is the area of specialization for Oral & Maxillofacial Surgeons Of Central Illinois, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Oral & Maxillofacial Surgeons Of Central Illinois is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Oral & Maxillofacial Surgeons Of Central Illinois receive its 1275663338 assignment from the Centers for Medicare & Medicaid Services?
The Oral & Maxillofacial Surgeons Of Central Illinois was assigned its 1275663338 by the Centers for Medicare & Medicaid Services on 2007-03-07.
As of what date were the Oral & Maxillofacial Surgeons Of Central Illinois's details last updated?
The information pertaining to the Oral & Maxillofacial Surgeons Of Central Illinois, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY