# THE CENTER FOR JAW AND FACIAL SURGERY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588612386
- **Authorized official:** DR. JAY IVOR SWANSON D.D.S., M.D. (PRESIDENT)
- **Authorized official phone:** (217) 342-4444

## Contact information

- **Practice address:** 901 MEDICAL PARK DR, SUITE 200, EFFINGHAM, IL 62401-2191
- **Practice address phone:** (217) 342-4444
- **Practice address fax:** (217) 347-8928
- **Mailing address:** 901 MEDICAL PARK DR, SUITE 200, EFFINGHAM, IL 62401-2191
- **Mailing address phone:** (217) 342-4444
- **Mailing address fax:** (217) 347-8928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 019019384 | IL | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 03/04/2013