OrganizationActive
Reza Movahed DMD, LLC
NPI 1740703842 · Oral and Maxillofacial Surgery Clinic/Center · O Fallon, IL
Provider details
- NPI number
- 1740703842
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Reza Movahed, Owner(618) 206-2630
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
624 Pierce Blvd Ste 200
O Fallon, IL 62269-2582
Phone: (618) 206-2630
Fax: (618) 206-2631
Street-level locationGet directions
Mailing address
220 Admiral Trost Rd Ste B
Columbia, IL 62236-2163
Other names (DBA / former)
- Doing business as
- Mid America Oral Surgery and Implant Center
Additional practice locations (1)
- 220 Admiral Trost Rd Ste BColumbia, IL 62236-2163Phone: (618) 344-3456
Registry dates
- Enumerated
- 2017-07-20
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.