CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C.
NPI 1801000443
Oral & Maxillofacial Surgery in Belleville, IL

Active since May 10, 2007
10200 W MAIN ST, SIGNAL HILL MEDICAL BLDG, BELLEVILLE, IL 62223(618) 397-2464(618) 398-4450 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Center For Oral And Maxillofacial Surgery, P.c. NPPES

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

CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C. (NPI 1801000443) is a healthcare organization registered as an oral & maxillofacial surgery in Belleville, Illinois and active in the NPI registry since May 2007. The organization lists Glenn A Miller, Oral & Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1801000443
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameCENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C.
Location Address10200 W MAIN ST, SIGNAL HILL MEDICAL BLDGBelleville, IL 62223-1408
Mailing Address10200 West Main, Signal Hill Medical BldgBelleville, IL 62223 · (618) 397-2464 · Fax (618) 398-4450
Fax(618) 398-4450
Organization SubpartNo
Authorized OfficialGlenn A MillerOral & Maxillofacial Surgeon · (618) 387-2464
Enumeration DateMay 10, 2007
Last NPPES UpdateJune 3, 2011
NPI 1801000443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in IL · 060000298
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
10200 W MAIN ST, Belleville, IL 62223

Other Identifiers 1

Medicare UPIN216016IL

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.

Dentist
10200 W MAIN ST
BELLEVILLE, IL 62223
Dentist (Oral and Maxillofacial Surgery)
10200 W MAIN ST
BELLEVILLE, IL 62223
Dentist (Oral and Maxillofacial Surgery)
10200 W MAIN ST
BELLEVILLE, IL 62223

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 Center For Oral And Maxillofacial Surgery, P.C.'s NPI number?

The NPI number for Center For Oral And Maxillofacial Surgery, P.C. is 1801000443. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Center For Oral And Maxillofacial Surgery, P.C. located?

Center For Oral And Maxillofacial Surgery, P.C. is located at 10200 W Main St Signal Hill Medical Bldg, Belleville, IL 62223. The listed phone number is (618) 397-2464.

What is Center For Oral And Maxillofacial Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Center For Oral And Maxillofacial Surgery, P.C. was last updated on June 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.