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CHAMPAIGN ORAL SURGERY CENTER
NPI 1669540399
Dentist - Oral and Maxillofacial Surgery in Champaign, IL

Active since December 01, 2006
14 E ANTHONY DR, SUITE C, CHAMPAIGN, IL 61820(217) 355-2809(217) 355-5921 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Champaign Oral Surgery Center NPPES

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

CHAMPAIGN ORAL SURGERY CENTER (NPI 1669540399) is a healthcare organization registered as an oral and maxillofacial surgery in Champaign, Illinois and active in the NPI registry since December 2006. The organization lists Amy M Kroeger, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669540399
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC
Location Address14 E ANTHONY DR, SUITE CChampaign, IL 61820-2748
Mailing Address14 E Anthony Dr, Suite CChampaign, IL 61820-2748 · (217) 355-2809 · Fax (217) 355-5921
Phone(217) 355-2809
Fax(217) 355-5921
Organization SubpartYes
Authorized OfficialAmy M KroegerInsurance Coordinator · (217) 540-5100
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1669540399 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.
14 E ANTHONY DR, Champaign, IL 61820
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Other Names 1

Doing Business AsChampaign Oral Surgery Center

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 3

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

DR. VENU MATURI DDS
Dentist
14 E ANTHONY DR, SUITE B
CHAMPAIGN, IL 61820
Champaign County (217) 398-1660
MARKUS PAUL ELDRED DDS
Dentist (General Practice)
14 E ANTHONY DR
CHAMPAIGN, IL 61820
Champaign County (217) 359-8697
DR. ALEXANDER EDWARD WRIGHT D.D.S.
Dentist
14 E ANTHONY DR
CHAMPAIGN, IL 61820
Champaign County (217) 359-8697

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 Central Illinois Oral And Maxillofacial Surgery, PC's NPI number?

The NPI number for Central Illinois Oral And Maxillofacial Surgery, PC is 1669540399. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Champaign Oral Surgery Center.

Where is Central Illinois Oral And Maxillofacial Surgery, PC located?

Central Illinois Oral And Maxillofacial Surgery, PC is located at 14 E Anthony Dr Suite C, Champaign, IL 61820. The listed phone number is (217) 355-2809.

What is Central Illinois Oral And Maxillofacial Surgery, PC'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 Central Illinois Oral And Maxillofacial Surgery, PC was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.