# WESTERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD.

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

## Provider details

- **NPI number:** 1932232287
- **Authorized official:** DR. DAN W. KASPAR DDS MS (PRESIDENT)
- **Authorized official phone:** (309) 344-3311

## Contact information

- **Practice address:** 929 W CARL SANDBURG DR, GALESBURG, IL 61401-1342
- **Practice address phone:** (309) 344-3311
- **Practice address fax:** (309) 344-1052
- **Mailing address:** 929 W CARL SANDBURG DR, GALESBURG, IL 61401-1342
- **Mailing address phone:** (309) 344-3311
- **Mailing address fax:** (309) 344-1052

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020