Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD.
Active OrganizationSOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. is a Oral & Maxillofacial Surgery organization located in BELLEVILLE, Illinois. NPI 1538180617 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BELLEVILLE, IL
Registration Details
- NPI Number
- 1538180617
- Provider Type
- Organization
- NPI Issued
- Jul 22, 2006 (20.103141485508 yrs)
- Last Updated
- Nov 24, 2014
- License
-
021-001364 (IL)
Practice Information
- Address
-
2900 FRANK SCOTT PKWY WSUITE 960BELLEVILLE, IL, 622235000Browse IL providers · Browse ZIP 62223
- Phone
- 6182338080
- Fax
- 6182331192
- 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.