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

Dr. Thomas W Fonner, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1205907581

Dr. Thomas W Fonner, DMD is a Maxillofacial Surgery in Effingham, Illinois. Graduated from Southern Illinois Univ School of Dental Medicine in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
31
Trained at
Southern Illinois Univ School of Dental Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

100 Greenview Dr Ste B
Effingham, IL 62401-3048
Phone: (217) 540-5348
Fax: (217) 540-5360
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 019-024942 (IL)

Record details

NPI number1205907581
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESApril 4, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolSOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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