| Central Illinois Oral And Maxillofacial Surgery, Pc | |
|
1200 Network Centre Dr Suite B Effingham IL 62401-4637 | |
| (217) 540-5800 | |
| (217) 342-2557 |
| Full Name | Central Illinois Oral And Maxillofacial Surgery, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1200 Network Centre Dr, Effingham, Illinois |
| Authorized Official Name and Position | Amy Kroeger (INS COODINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Illinois Oral And Maxillofacial Surgery, Pc 1200 Network Centre Dr Suite B Effingham IL 62401-4637 Ph: (217) 540-5800 | Central Illinois Oral And Maxillofacial Surgery, Pc 1200 Network Centre Dr Suite B Effingham IL 62401-4637 Ph: (217) 540-5800 |
| NPI Number | 1891843595 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891843595 | NPI | - | NPPES |
| 1014426 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019-024942 (Illinois) | Primary |
Lifetime Dental Care Of Maryland, Badger, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 Phone: 217-540-8946 Fax: 217-540-8946 | |
Dental Professionals Of Illinois, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1379 N Outer Belt W, Effingham, IL 62401 Phone: 217-540-5000 Fax: 217-342-2557 | |
Heartland Dental Care Of Oh, Richard E Workman, Dmd Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr, Effingham, IL 62401 Phone: 217-540-5100 | |
Heartland Dental Care Of Tn, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr, Effingham, IL 62401 Phone: 217-540-5100 | |
Affordable Dentistry Today, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr, Effingham, IL 62401 Phone: 217-540-5100 Fax: 877-635-3298 | |
Dental Health Professionals Of Colorado Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr Ste 2, Effingham, IL 62401 Phone: 217-540-8306 | |
Ted B Koester Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 South First Street, Effingham, IL 62401 Phone: 217-342-4494 Fax: 217-347-5344 |