| Central Illinois Oral & Maxillofacial Surgery | |
|
1200 Network Centre Dr Ste A Effingham IL 62401-4637 | |
| (217) 540-5100 | |
| (877) 635-3298 |
| Full Name | Central Illinois Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1200 Network Centre Dr Ste A, Effingham, Illinois |
| Authorized Official Name and Position | Amy Kroeger (INSURANCE COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Illinois Oral & Maxillofacial Surgery 1200 Network Centre Dr Ste A Effingham IL 62401-4637 Ph: (217) 540-5100 | Central Illinois Oral & Maxillofacial Surgery 1200 Network Centre Dr Ste A Effingham IL 62401-4637 Ph: (217) 540-5100 |
| NPI Number | 1679733976 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679733976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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