IndividualActive
Jonathan Bailey, DMD, MD
NPI 1366476947 · Oral & Maxillofacial Surgery (D.M.D.) · Urbana, IL
Provider details
- NPI number
- 1366476947
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD, MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036104913 (IL)
Practice location
611 W. Park St.
Oral and Maxillofacial Surgery
Urbana, IL 61801-2500
Phone: (217) 383-3280
Fax: (217) 383-7071
Mailing address
611 W. Park St.
Urbana, IL 61801-2500
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2019-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.