FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC
NPI 1417123076
Clinic/Center - Oral and Maxillofacial Surgery in Dunlap, IL

Q: What is Facial Cosmetic & Reconstructive Surgery, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since May 05, 2008

11825 N KNOXVILLE AVE, DUNLAP, IL 61525(309) 243-8980(309) 243-8983 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Facial Cosmetic & Reconstructive Surgery, Sc NPPES

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

FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC (NPI 1417123076) is a healthcare organization registered as an oral and maxillofacial surgery in Dunlap, Illinois and active in the NPI registry since May 2008. The organization lists Wendy Christine Morrison, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417123076

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameFACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC

Location Address11825 N KNOXVILLE AVEDunlap, IL 61525-8842

Mailing Address11825 N Knoxville AveDunlap, IL 61525-8842 · (309) 243-8980 · Fax (309) 243-8983

Phone(309) 243-8980

Fax(309) 243-8983

Organization SubpartNo

Authorized OfficialWendy Christine MorrisonOffice Manager · (309) 243-8980

Enumeration DateMay 5, 2008

✔ NPI 1417123076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

License✔ Licensed in IL · 019025195

Definition

An oral and maxillofacial surgery clinic or center 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.

11825 N KNOXVILLE AVE, Dunlap, IL 61525

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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.

DR. TREVOR DANIEL RICHMOND DMD

Dentist (Periodontics)

11825 N KNOXVILLE AVE
DUNLAP, IL 61525

Peoria County (309) 740-3901

MAPLE SHADE DENTAL GROUP

Dentist (Oral and Maxillofacial Surgery)

11825 N KNOXVILLE AVE
DUNLAP, IL 61525

Peoria County (309) 243-7702

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 Facial Cosmetic & Reconstructive Surgery, Sc's NPI number?

The NPI number for Facial Cosmetic & Reconstructive Surgery, Sc is 1417123076. It was assigned to this organization in the NPPES registry on May 5, 2008.

Where is Facial Cosmetic & Reconstructive Surgery, Sc located?

Facial Cosmetic & Reconstructive Surgery, Sc is located at 11825 N Knoxville Ave, Dunlap, IL 61525. The listed phone number is (309) 243-8980.

What is Facial Cosmetic & Reconstructive Surgery, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Facial Cosmetic & Reconstructive Surgery, Sc was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.