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Organization

ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL ILLINOIS

Active
Other names
Dr Robert W Young
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT WILLIAM YOUNG DMD (ORAL AND MAXILLOFACIAL SURGEON)
(309) 693-1200
Entity
Organization

Contact information

Practice address
5009 A EXECUTIVE DR, PEORIA, IL 61614-4866
(309) 693-1200
(309) 693-9998
Mailing address
5009 A EXECUTIVE DRIVE, PEORIA, IL 61614-4866
(309) 693-1200
(309) 693-9998

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
IL

Other

Enumeration date
03/07/2007
Last updated
09/11/2025
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