Center For Oral And Maxillofacial Surgery, P.C.

LBN: Center For Oral And Maxillofacial Surgery, P.C.
Center For Oral And Maxillofacial Surgery, P.C. is an health care organization with primary practice located at 10200 W Main St Signal Hill Medical Bldg, Belleville IL 62223-1408. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty. Center For Oral And Maxillofacial Surgery, P.C. can be contacted via phone (618) 397-2464, or through Miller, Glenn A via phone (618) 387-2464.

Contact Information

Primary practice address
10200 W Main St Signal Hill Medical Bldg Belleville IL 62223-1408
Phone: (618) 397-2464
Fax: (618) 398-4450
Website:
Map and Directions
Authorized official contact:
Name: Miller, Glenn A DDS MS
Phone: (618) 387-2464

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 060000298 Illinois

Profile Details

NPI number 1801000443
LBN Legal business name Center For Oral And Maxillofacial Surgery, P.C.
DBA Doing business as
Authorized official Miller, Glenn A DDS MS
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Jun 3rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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