Champaign Oral Surgery Center

LBN: Central Illinois Oral And Maxillofacial Surgery, Pc
Champaign Oral Surgery Center is an health care organization with primary practice located at 14 E Anthony Dr Suite C, Champaign IL 61820-2748. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Central Illinois Oral And Maxillofacial Surgery, Pc can be contacted via phone (217) 355-2809, or through Kroeger, Amy M via phone (217) 540-5100.

Contact Information

Primary practice address
14 E Anthony Dr Suite C Champaign IL 61820-2748
Phone: (217) 355-2809
Fax: (217) 355-5921
Website:
Map and Directions
Authorized official contact:
Name: Kroeger, Amy M
Phone: (217) 540-5100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1669540399
LBN Legal business name Central Illinois Oral And Maxillofacial Surgery, Pc
DBA Doing business as Champaign Oral Surgery Center
Authorized official Kroeger, Amy M
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 1st, 2006
Last updated Aug 23rd, 2023 - about last year

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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