Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Illinois Oral and Maxillofacial Surgery, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1669540399

Central Illinois Oral and Maxillofacial Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Champaign, Illinois. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14 E Anthony Dr Ste C
Champaign, IL 61820-2748
Phone: (217) 355-2809
Fax: (217) 355-5921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1669540399
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentral Illinois Oral and Maxillofacial Surgery, PC
Authorized official Amy Kroeger — Insurance Coordinator · (217) 540-5100
Other names Champaign Oral Surgery Center; Champaign Oral Surgery Center
NPI enumeratedDecember 1, 2006
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address14 E Anthony Dr, Suite C, Champaign, IL 61820-2748

Other providers in Champaign