Organization
THE CENTER FOR JAW AND FACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY IVOR SWANSON D.D.S., M.D. (PRESIDENT)
(217) 342-4444
Entity
Organization
Contact information
Practice address
901 MEDICAL PARK DR, SUITE 200, EFFINGHAM, IL 62401-2191
(217) 342-4444
(217) 347-8928
Mailing address
901 MEDICAL PARK DR, SUITE 200, EFFINGHAM, IL 62401-2191
(217) 342-4444
(217) 347-8928
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019019384
IL
Other
Enumeration date
05/04/2006
Last updated
03/04/2013
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