CENTRAL ILLINOIS ORAL & MAXILLOFACIAL SURGERY
NPI 1679733976
Dentist - Oral and Maxillofacial Surgery in Effingham, IL

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

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

Active since June 11, 2008

1200 NETWORK CENTRE DR STE A, EFFINGHAM, IL 62401(217) 540-5100(877) 635-3298 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Central Illinois Oral & Maxillofacial Surgery NPPES

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

CENTRAL ILLINOIS ORAL & MAXILLOFACIAL SURGERY (NPI 1679733976) is a healthcare organization registered as an oral and maxillofacial surgery in Effingham, Illinois and active in the NPI registry since June 2008. The organization lists Amy Kroeger, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1679733976

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCENTRAL ILLINOIS ORAL & MAXILLOFACIAL SURGERY

Location Address1200 NETWORK CENTRE DR STE AEffingham, IL 62401-4637

Mailing Address1200 Network Centre Dr Ste AEffingham, IL 62401-4637 · (217) 540-5100 · Fax (877) 635-3298

Phone(217) 540-5100

Fax(877) 635-3298

Organization SubpartNo

Authorized OfficialAmy KroegerInsurance Coordinator · (217) 540-5100

Enumeration DateJune 11, 2008

Last NPPES UpdateNovember 12, 2008

✔ NPI 1679733976 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.

1200 NETWORK CENTRE DR STE A, Effingham, IL 62401

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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 Central Illinois Oral & Maxillofacial Surgery's NPI number?

The NPI number for Central Illinois Oral & Maxillofacial Surgery is 1679733976. It was assigned to this organization in the NPPES registry on June 11, 2008.

Where is Central Illinois Oral & Maxillofacial Surgery located?

Central Illinois Oral & Maxillofacial Surgery is located at 1200 Network Centre Dr Ste A, Effingham, IL 62401. The listed phone number is (217) 540-5100.

What is Central Illinois Oral & Maxillofacial Surgery'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 & Maxillofacial Surgery was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.