OrganizationActive
Oral Facial Surgery Institute of Illinois P C
NPI 1740697333 · Oral & Maxillofacial Surgery (D.M.D.) · Belleville, IL
Provider details
- NPI number
- 1740697333
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Scott Graham, Administrator
Practice location
10200 West Main Street
Belleville, IL 62223
Phone: (618) 397-2464
Fax: (618) 398-4450
Mailing address
10200 West Main Street
Belleville, IL 62223
Registry dates
- Enumerated
- 2014-07-16
- Last updated
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.