Organization
SHAWNEE HILLS ORAL & MAXILLOFACIAL SURGERY
Active
Organization
SHAWNEE HILLS ORAL & MAXILLOFACIAL SURGERY
Active
Parent organization
SHAWNEE HILLS ORAL & MAXILLOFACIAL SURGERY, PC
Other names
Metro OMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWNEE HILLS ORAL & MAXILLOFACIAL SURGERY, PC
Authorized official
DR. JONATHAN W BURTON DMD (PRESIDENT)
(618) 288-8770
Entity
Organization
Contact information
Practice address
2246 S STATE ROUTE 157, SUITE 325, GLEN CARBON, IL 62034-1717
(618) 288-8770
(618) 288-8782
Mailing address
2246 S STATE ROUTE 157, SUITE 325, GLEN CARBON, IL 62034-1717
(618) 288-8770
(618) 288-8782
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019026124
IL
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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