Individual
DR. EUGENE MICHAEL OZMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3112 VILLAGE OFFICE PLACE, CHAMPAIGN, IL 61822
(217) 351-7111
(217) 351-7282
Mailing address
3112 VILLAGE OFFICE PLACE, CHAMPAIGN, IL 61822
(217) 351-7111
(217) 351-7282
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064485
HEALTH ALLIANCE
IL
01
—
081637
UNITED CONCORDIA
—
01
—
80115931
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/05/2006
Last updated
07/08/2007
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