OrganizationActive
Shawnee Hills Oral & Maxillofacial Surgery, Sc
NPI 1538394556 · Oral and Maxillofacial Surgery Clinic/Center · Carbondale, IL
Provider details
- NPI number
- 1538394556
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Burton, President(618) 519-9363
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
2250 N Reed Station Rd
Suite 201
Carbondale, IL 62901-8101
Phone: (618) 519-9363
Fax: (618) 519-9364
Street-level locationGet directions
Mailing address
2250 N Reed Station Rd
Carbondale, IL 62901-8101
Registry dates
- Enumerated
- 2009-05-19
- Last updated
- 2009-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.