Shawnee Hills Oral & Maxillofacial Surgery
Shawnee Hills Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
2246 S State Route 157 Ste 325Glen Carbon, IL 62034-1717
Phone: (618) 288-8770
Fax: (618) 288-8782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 019026124 (IL) |
|---|
Record details
| NPI number | 1457887168 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Shawnee Hills Oral & Maxillofacial Surgery, PC |
| Authorized official | Jonathan Burton — President · (618) 288-8770 |
| Other names | Metro Oms |
| NPI enumerated | May 2, 2017 |
| Last updated in NPPES | May 2, 2017 |
| Mailing address | 2246 S State Route 157, Suite 325, Glen Carbon, IL 62034-1717 |