MID AMERICA ORAL SURGERY AND IMPLANT CENTER
NPI 1740703842
Clinic/Center - Oral and Maxillofacial Surgery in O Fallon, IL

Q: What is Reza Movahed Dmd, LLC's NPI number?

The NPI number for Reza Movahed Dmd, LLC is 1740703842. It was assigned to this organization in the NPPES registry on July 20, 2017. The provider is doing business as Mid America Oral Surgery And Implant Center.

Q: What is Reza Movahed Dmd, LLC's specialty?

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

Active since July 20, 2017

624 PIERCE BLVD STE 200, O FALLON, IL 62269(618) 206-2630(618) 206-2631 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 24, 2023, Jul 21, 2022, Jun 16, 2018 and 2 more (5 updates tracked since 2017).

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About Mid America Oral Surgery And Implant Center NPPES

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

MID AMERICA ORAL SURGERY AND IMPLANT CENTER (NPI 1740703842) is a healthcare organization registered as an oral and maxillofacial surgery in O Fallon, Illinois and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Columbia and lists Reza Movahed, Owner, as its authorized official.

NPPES Registry Identity

NPI1740703842

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameREZA MOVAHED DMD, LLC

Location Address624 PIERCE BLVD STE 200O Fallon, IL 62269-2582

Mailing Address220 Admiral Trost Rd Ste BColumbia, IL 62236-2163 · (618) 344-3456

Phone(618) 206-2630

Fax(618) 206-2631

Organization SubpartNo

Authorized OfficialReza MovahedOwner · (618) 206-2630

Enumeration DateJuly 20, 2017

Last NPPES UpdateJanuary 24, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2023

✔ NPI 1740703842 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

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.

624 PIERCE BLVD STE 200, O Fallon, IL 62269

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Other Names 1

Doing Business AsMid America Oral Surgery And Implant Center

Secondary Practice Location 1

Location 1220 Admiral Trost Rd Ste BColumbia, IL 62236-2163 · Phone (618) 344-3456

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 Reza Movahed Dmd, LLC's NPI number?

The NPI number for Reza Movahed Dmd, LLC is 1740703842. It was assigned to this organization in the NPPES registry on July 20, 2017. The provider is doing business as Mid America Oral Surgery And Implant Center.

Where is Reza Movahed Dmd, LLC located?

Reza Movahed Dmd, LLC is located at 624 Pierce Blvd Ste 200, O Fallon, IL 62269. The listed phone number is (618) 206-2630.

What is Reza Movahed Dmd, LLC'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 Reza Movahed Dmd, LLC was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.