OrganizationActive
Central Illinois Oral and Maxillofacial Surgery, PC
NPI 1891843595 · Oral and Maxillofacial Surgery (Dentist) · Effingham, IL
Provider details
- NPI number
- 1891843595
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Central Illinois Oral and Maxillofacial Surgery, PC
- Organization subpart
- Yes
- Authorized official
- Amy Kroeger, Ins Coodinator(217) 540-5100
- License
- 019-024942 (IL)
Specialties & taxonomies
Dental Providers
Practice location
1200 Network Centre Dr
Suite B
Effingham, IL 62401-4637
Phone: (217) 540-5800
Fax: (217) 342-2557
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Network Centre Dr
Effingham, IL 62401-4637
Other names (DBA / former)
- Doing business as
- Central Illinois Oral Surgery
- Doing business as
- Central Illinois Oral Surgery
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2023-06-29
- Certified
- 2023-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.