ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL ILLINOIS
NPI 1275663338
Dentist in Peoria, IL

Q: What is Oral & Maxillofacial Surgeons Of Central Illinois's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since March 07, 2007

5009 A EXECUTIVE DR, PEORIA, IL 61614(309) 693-1200(309) 693-9998 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Oral & Maxillofacial Surgeons Of Central Illinois NPPES

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

ORAL & MAXILLOFACIAL SURGEONS OF CENTRAL ILLINOIS (NPI 1275663338) is a healthcare organization registered as a dentist in Peoria, Illinois and active in the NPI registry since March 2007. The organization lists Robert William Young, Oral And Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1275663338

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameORAL & MAXILLOFACIAL SURGEONS OF CENTRAL ILLINOIS

Location Address5009 A EXECUTIVE DRPeoria, IL 61614-4866

Mailing Address5009 A Executive DrivePeoria, IL 61614-4866 · (309) 693-1200 · Fax (309) 693-9998

Phone(309) 693-1200

Fax(309) 693-9998

Organization SubpartNo

Authorized OfficialRobert William YoungOral And Maxillofacial Surgeon · (309) 693-1200

Enumeration DateMarch 7, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1275663338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

5009 A EXECUTIVE DR, Peoria, IL 61614

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Other Names 1

Other NameDr Robert W Young

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Oral & Maxillofacial Surgeons Of Central Illinois's NPI number?

The NPI number for Oral & Maxillofacial Surgeons Of Central Illinois is 1275663338. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is also known as Dr Robert W Young.

Where is Oral & Maxillofacial Surgeons Of Central Illinois located?

Oral & Maxillofacial Surgeons Of Central Illinois is located at 5009 A Executive Dr, Peoria, IL 61614. The listed phone number is (309) 693-1200.

What is Oral & Maxillofacial Surgeons Of Central Illinois's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Oral & Maxillofacial Surgeons Of Central Illinois was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.