Oral Surgeons of Southern Illinois

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1477613297

Oral Surgeons of Southern Illinois is an Oral and Maxillofacial Surgery (Dentist) in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in: IL
In the registry since: 2006

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

741 W State St Ste 3
O Fallon, IL 62269-1971
Phone: (618) 628-1800
Fax: (618) 628-3406

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary)	Taxonomy 1223S0112X · Licence 021.001638 (IL)

Record details

NPI number	1477613297
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dale Schutte — President · (618) 628-1800
NPI enumerated	December 11, 2006
Last updated in NPPES	August 16, 2013
Mailing address	741 W State St, Suite 3, O Fallon, IL 62269-1971