OrganizationActive
Oral & Maxillofacial Surgeons of Central Illinois
NPI 1275663338 · Dentist · Peoria, IL
Oral & Maxillofacial Surgeons of Central Illinois is a Dentist organization in Peoria, IL (NPI 1275663338).
Provider details
- NPI number
- 1275663338
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Robert Young, Oral and Maxillofacial Surgeon(309) 693-1200
Specialties & taxonomies
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5009 a Executive Dr
Peoria, IL 61614-4866
Phone: (309) 693-1200
Fax: (309) 693-9998
Street-level locationGet directions
Mailing address
5009 a Executive Drive
Peoria, IL 61614-4866
Other names (DBA / former)
- Other name
- Dr Robert W Young
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2025-09-11
Frequently asked questions
- What is Oral & Maxillofacial Surgeons of Central Illinois's NPI number?
- Oral & Maxillofacial Surgeons of Central Illinois's National Provider Identifier (NPI) is 1275663338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oral & Maxillofacial Surgeons of Central Illinois?
- Oral & Maxillofacial Surgeons of Central Illinois is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Oral & Maxillofacial Surgeons of Central Illinois located?
- Oral & Maxillofacial Surgeons of Central Illinois's practice location on file with NPPES is 5009 a Executive Dr, Peoria, IL 61614-4866.
- What is Oral & Maxillofacial Surgeons of Central Illinois's phone number?
- The practice phone number listed in the NPPES registry for Oral & Maxillofacial Surgeons of Central Illinois is (309) 693-1200.
- Who is the authorized official for Oral & Maxillofacial Surgeons of Central Illinois?
- The authorized official listed on Oral & Maxillofacial Surgeons of Central Illinois's NPPES record is Robert Young, Oral and Maxillofacial Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oral & Maxillofacial Surgeons of Central Illinois's NPI active?
- Yes — Oral & Maxillofacial Surgeons of Central Illinois's NPI (1275663338) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.