IndividualActive
Daniel Godfrey, DDS
NPI 1861185860 · Oral & Maxillofacial Surgery (D.M.D.) · Urbana, IL
Provider details
- NPI number
- 1861185860
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 12014089A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
611 W Park St
Urbana, IL 61801-2501
Phone: (217) 326-1297
Fax: (217) 326-1300
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Hillshire Dr
Urbana, IL 61802-7808
Registry dates
- Enumerated
- 2023-05-26
- Last updated
- 2024-07-14
- Certified
- 2024-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.