Organization
CENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC
Active
Parent organization
CENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC
Other names
Champaign Oral Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC
Authorized official
AMY M KROEGER (INSURANCE COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
14 E ANTHONY DR, SUITE C, CHAMPAIGN, IL 61820-2748
(217) 355-2809
(217) 355-5921
Mailing address
14 E ANTHONY DR, SUITE C, CHAMPAIGN, IL 61820-2748
(217) 355-2809
(217) 355-5921
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
08/23/2023
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