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

Oral & Maxillofacial Surgeons of Central Illinois

Organization Dentist · NPI 1275663338

Oral & Maxillofacial Surgeons of Central Illinois is a Dentist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

5009 A Executive Dr
Peoria, IL 61614-4866
Phone: (309) 693-1200
Fax: (309) 693-9998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X (IL)

Record details

NPI number1275663338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Young — Oral And Maxillofacial Surgeon · (309) 693-1200
Other names Dr Robert W Young
NPI enumeratedMarch 7, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address5009 A Executive Drive, Peoria, IL 61614-4866

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