Oral & Maxillofacial Surgeons Of Central Illinois

NPI 1275663338 - Dentist - 122300000X

NPI Details
NPI 1275663338
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT WILLIAM ROBERT
Position ORAL AND MAXILLOFACIAL SURGEON
Phone (309) 693-1200
Fax (309) 693-9998
Practice Location
5009 A EXECUTIVE DR
PEORIA IL, 61614-4866, US
Phone (309) 693-1200
Fax (309) 693-9998
Business Location
5009 A EXECUTIVE DRIVE
PEORIA IL, 61614-4866, US
Phone (309) 693-1200
Fax (309) 693-9998
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Oral & Maxillofacial Surgeons Of Central Illinois NPI is 1275663338, taxonomy code is 122300000X Oral & Maxillofacial Surgeons Of Central Illinois physically located at 5009 A Executive Dr, Peoria IL, 61614-4866. NPI Number 1033115704 has the healthcare provider type.

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1275663338 NPI number is provided on an as is basis without warranty of any kind. 1275663338 is maintained by the National Plan & Provider Enumeration System. The contents of Oral & Maxillofacial Surgeons Of Central Illinois are for informational purposes only.