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 1891843595

Central Illinois Oral and Maxillofacial Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Effingham, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Network Centre Dr Ste B
Effingham, IL 62401-4637
Phone: (217) 540-5800
Fax: (217) 342-2557
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 · Licence 019-024942 (IL)

Record details

NPI number1891843595
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentral Illinois Oral and Maxillofacial Surgery, PC
Authorized official Amy Kroeger — Ins Coodinator · (217) 540-5100
Other names Central Illinois Oral Surgery; Central Illinois Oral Surgery
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address1200 Network Centre Dr, Suite B, Effingham, IL 62401-4637

Other providers in Effingham