ORAL & MAXILLOFACIAL SURGERY OF CARBONDALE, INC
NPI 1194381640
Dentist - Oral and Maxillofacial Surgery in Carbondale, IL

Active since May 09, 2019CLIA 14D2171607 · Waiver
1111 E WALNUT ST STE B, CARBONDALE, IL 62901(618) 529-2571(618) 529-2572 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2019, Jul 20, 2019, May 9, 2019 (3 updates tracked since 2019).

About Oral & Maxillofacial Surgery Of Carbondale, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL & MAXILLOFACIAL SURGERY OF CARBONDALE, INC (NPI 1194381640) is a healthcare organization registered as an oral and maxillofacial surgery in Carbondale, Illinois and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Billy B Laun, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1194381640
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBILLY B. LAUN II, DDS, PC
Location Address1111 E WALNUT ST STE BCarbondale, IL 62901-5000
Mailing Address1111 E Walnut St Ste BCarbondale, IL 62901-5000
Fax(618) 529-2572
Organization SubpartNo
Authorized OfficialBilly B LaunOwner/provider · (618) 529-2571
Enumeration DateMay 9, 2019
Last NPPES UpdateSeptember 11, 20193 updates tracked since enumeration
NPI 1194381640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1111 E WALNUT ST STE B, Carbondale, IL 62901

Other Names 1

Doing Business AsOral & Maxillofacial Surgery Of Carbondale, Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2171607

Oral & Maxillofacial Surgery Of Carbondale · Carbondale, IL
Active · expires Sep 4, 2027
CLIA Number14D2171607
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorBilly B. Laun I I
Laboratory Phone(618) 529-2572
Laboratory LocationOral & Maxillofacial Surgery Of Carbondale1111 E Walnut St - Ste B, Carbondale, IL 62901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1111 E WALNUT ST STE B
CARBONDALE, IL 62901
Dentist (Oral and Maxillofacial Surgery)
1111 E WALNUT ST STE B
CARBONDALE, IL 62901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Billy B. Laun II, Dds, PC's NPI number?

The NPI number for Billy B. Laun II, Dds, PC is 1194381640. It was assigned to this organization in the NPPES registry on May 9, 2019. The provider is doing business as Oral & Maxillofacial Surgery Of Carbondale, Inc.

Where is Billy B. Laun II, Dds, PC located?

Billy B. Laun II, Dds, PC is located at 1111 E Walnut St Ste B, Carbondale, IL 62901. The listed phone number is (618) 529-2571.

What is Billy B. Laun II, Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Does Billy B. Laun II, Dds, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2171607) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Billy B. Laun II, Dds, PC was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.