Shawnee Hills Oral & Maxillofacial Surgery, SC
Shawnee Hills Oral & Maxillofacial Surgery, SC is an Oral and Maxillofacial Surgery Clinic/Center in Carbondale, Illinois. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
2250 N Reed Station Rd Ste 201Carbondale, IL 62901-8101
Phone: (618) 519-9363
Fax: (618) 519-9364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X |
|---|
Record details
| NPI number | 1538394556 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Burton — President · (618) 519-9363 |
| NPI enumerated | May 19, 2009 |
| Last updated in NPPES | May 19, 2009 |
| Mailing address | 2250 N Reed Station Rd, Suite 201, Carbondale, IL 62901-8101 |
Other providers in Carbondale
-
Frederick Gustave, DDS, PC
1111 E Walnut St Ste B, Carbondale, IL 62901-5000 · (618) 529-2571