Central Illinois Oral and Maxiofacial Surgery, PC
Central Illinois Oral and Maxiofacial Surgery, PC is a General Practice Dentistry in Champaign, Illinois. Registered with an NPI since 2008.
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14 E Anthony Dr Ste CChampaign, IL 61820-2749
Phone: (217) 355-2809
Fax: (217) 355-5921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1851540330 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Central Illinois Oral and Maxiofacial Surgery, PC |
| Authorized official | Pam Hardiek — Insurance/Credentialing · (217) 540-5100 |
| Other names | Dr. Firas Ali, Dmd |
| NPI enumerated | September 9, 2008 |
| Last updated in NPPES | September 11, 2008 |
| Mailing address | 14 E Anthony Dr Ste C, Champaign, IL 61820-2749 |
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