ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL ILLINOIS

Dentist

Active Organization
NPI: 1275663338

Practice Address

5009 A EXECUTIVE DR
Peoria, IL 61614

Phone: (309) 693-1200

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X No -
Dentist 122300000X Yes -

Frequently Asked Questions

NPI 1275663338 is the National Provider Identifier for ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL ILLINOIS, a Dentist provider located in Peoria, IL. This NPI was enumerated on March 7, 2007.

Quick Facts

NPI
1275663338
Type
Organization
Enumerated
Mar 7, 2007
Last Updated
Sep 11, 2025

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