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

Southern Illinois Oral & Maxillofacial Surgery, Ltd

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1538180617

Southern Illinois Oral & Maxillofacial Surgery, Ltd is an Oral and Maxillofacial Surgery (Dentist) in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2900 Frank Scott Pkwy W Ste 960
Belleville, IL 62223-5000
Phone: (618) 233-8080
Fax: (618) 233-1192
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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 021-001364 (IL)

Record details

NPI number1538180617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Hesterberg — President · (618) 233-8080
NPI enumeratedJuly 22, 2006
Last updated in NPPESNovember 24, 2014
Mailing address2900 Frank Scott Pkwy W, Suite 960, Belleville, IL 62223-5000

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