Central Illinois Oral & Maxillofacial Surgery

LBN: Central Illinois Oral & Maxillofacial Surgery
Central Illinois Oral & Maxillofacial Surgery is an health care organization with primary practice located at 1200 Network Centre Dr Ste A , Effingham IL 62401-4637. 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 & Maxillofacial Surgery can be contacted via phone (217) 540-5100, or through Kroeger, Amy via phone (217) 540-5100.

Contact Information

Primary practice address
1200 Network Centre Dr Ste A Effingham IL 62401-4637
Phone: (217) 540-5100
Fax: (877) 635-3298
Website:
Map and Directions
Authorized official contact:
Name: Kroeger, Amy
Phone: (217) 540-5100

Health care specialties

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

Profile Details

NPI number 1679733976
LBN Legal business name Central Illinois Oral & Maxillofacial Surgery
DBA Doing business as
Authorized official Kroeger, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2008
Last updated Nov 12th, 2008 - about 16 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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