# BILLY B. LAUN II, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral & Maxillofacial Surgery of Carbondale, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194381640
- **Authorized official:** BILLY B LAUN II DDS (OWNER/PROVIDER)
- **Authorized official phone:** (618) 529-2571

## Contact information

- **Practice address:** 1111 E WALNUT ST STE B, CARBONDALE, IL 62901-5000
- **Practice address phone:** (618) 529-2571
- **Practice address fax:** (618) 529-2572
- **Mailing address:** 1111 E WALNUT ST STE B, CARBONDALE, IL 62901-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2019
- **Last updated:** 09/11/2019