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ORAL SURGEONS OF SOUTHERN ILLINOIS
NPI 1477613297
Dentist - Oral and Maxillofacial Surgery in O Fallon, IL

Active since December 11, 2006
741 W STATE ST, SUITE 3, O FALLON, IL 62269(618) 628-1800(618) 628-3406 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oral Surgeons Of Southern Illinois NPPES

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

ORAL SURGEONS OF SOUTHERN ILLINOIS (NPI 1477613297) is a healthcare organization registered as an oral and maxillofacial surgery in O Fallon, Illinois and active in the NPI registry since December 2006. The organization lists Dale Allen Schutte, President, as its authorized official.

NPPES Registry Identity

NPI1477613297
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL SURGEONS OF SOUTHERN ILLINOIS
Location Address741 W STATE ST, SUITE 3O Fallon, IL 62269-1971
Mailing Address741 W State St, Suite 3O Fallon, IL 62269-1971 · (618) 628-1800 · Fax (618) 628-3406
Phone(618) 628-1800
Fax(618) 628-3406
Organization SubpartNo
Authorized OfficialDale Allen SchuttePresident · (618) 628-1800
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 16, 2013
✔ NPI 1477613297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 021.001638
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.
741 W STATE ST, O Fallon, IL 62269
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Other Identifiers 1

Medicare ID-Type Unspecified211504IL · Group Provider Number

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

Other Providers at the Same Location NPPES 10

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

DR. BRITTANY GILBRETH D.M.D
Dentist
741 W STATE ST, SUITE 1
O FALLON, IL 62269
St. Clair County (618) 632-2282
DR. KARA LYNN SCHREDER D.M.D.
Dentist (General Practice)
741 W STATE ST, SUITE 1
O FALLON, IL 62269
St. Clair County (618) 632-2282
DR. JOHN MARK LEIB D.M.D.
Dentist
741 W STATE ST, SUITE 3
O FALLON, IL 62269
St. Clair County (618) 628-1800
KIRK DOUGLAS SATROM D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
741 W STATE ST, SUITE 2
O FALLON, IL 62269
St. Clair County (618) 624-0800
BOWMAN DENTAL GROUP
Dentist (General Practice)
741 W STATE ST, STE. 1
O FALLON, IL 62269
St. Clair County (618) 632-2282
DR. AVA LAUREN HOOD-OLSON D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
741 W STATE ST, SUITE 2
O FALLON, IL 62269
St. Clair County (618) 624-0800
DR. DALE ALLEN SCHUTTE D.D.S
Dentist
741 W STATE ST, SUITE 3
O FALLON, IL 62269
St. Clair County (618) 628-1800
TONYA L. BOWMAN D.M.D.
Dentist (General Practice)
741 W STATE ST
O FALLON, IL 62269
St. Clair County (618) 632-2282

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 Surgeons Of Southern Illinois's NPI number?

The NPI number for Oral Surgeons Of Southern Illinois is 1477613297. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Oral Surgeons Of Southern Illinois located?

Oral Surgeons Of Southern Illinois is located at 741 W State St Suite 3, O Fallon, IL 62269. The listed phone number is (618) 628-1800.

What is Oral Surgeons Of Southern Illinois's specialty?

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

When was this NPI record last updated?

The NPPES record for Oral Surgeons Of Southern Illinois was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.