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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ORAL SURGEONS OF SOUTHERN ILLINOIS

Active Organization

ORAL SURGEONS OF SOUTHERN ILLINOIS is a Oral & Maxillofacial Surgery organization located in O FALLON, Illinois. NPI 1477613297 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · O FALLON, IL

Registration Details

NPI Number
1477613297
Provider Type
Organization
NPI Issued
Dec 11, 2006 (19.714100725494 yrs)
Last Updated
Aug 16, 2013
License
021.001638 (IL)

Practice Information

Address
741 W STATE ST
SUITE 3
O FALLON, IL, 622691971
Browse IL providers · Browse ZIP 62269
Phone
6186281800
Fax
6186283406
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.