Affiliates in Oral & Maxillofacial Surgery Ltd
Affiliates in Oral & Maxillofacial Surgery Ltd is an Oral and Maxillofacial Surgery (Dentist) in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3112 Vlg Ofc PLChampaign, IL 61822-7680
Phone: (217) 351-7111
Fax: (217) 351-7282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 019021176 (IL) |
|---|
Record details
| NPI number | 1215196290 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Philip Banghart — President/Oral Surgeon · (217) 351-7111 |
| NPI enumerated | June 5, 2008 |
| Last updated in NPPES | June 5, 2008 |
| Mailing address | 3112 Village Office Pl, Champaign, IL 61822-7680 |
Other providers in Champaign
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Central Illinois Oral and Maxillofacial Surgery, PC
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-
Dr. Victor Escobar, DDS, PHD
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Nicholas Mechas, DMD
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Omfs Practice Inc
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