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CENTRAL ILLINOIS ORAL SURGERY
NPI 1891843595
Dentist - Oral and Maxillofacial Surgery in Effingham, IL

Active since January 08, 2007
1200 NETWORK CENTRE DR, SUITE B, EFFINGHAM, IL 62401(217) 540-5800(217) 342-2557 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Illinois Oral Surgery NPPES

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

CENTRAL ILLINOIS ORAL SURGERY (NPI 1891843595) is a healthcare organization registered as an oral and maxillofacial surgery in Effingham, Illinois and active in the NPI registry since January 2007. The organization lists Amy Kroeger, Ins Coodinator, as its authorized official.

NPPES Registry Identity

NPI1891843595
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC
Location Address1200 NETWORK CENTRE DR, SUITE BEffingham, IL 62401-4637
Mailing Address1200 Network Centre Dr, Suite BEffingham, IL 62401-4637 · (217) 540-5800 · Fax (217) 342-2557
Phone(217) 540-5800
Fax(217) 342-2557
Organization SubpartYes
Authorized OfficialAmy KroegerIns Coodinator · (217) 540-5100
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1891843595 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 · 019-024942
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, Effingham, IL 62401
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Other Names 1

Doing Business AsCentral Illinois Oral Surgery

Other Identifiers 1

Medicaid1014426IL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. ALISA TAYLOR DMD
Dentist
1200 NETWORK CENTRE DR, SUITE B
EFFINGHAM, IL 62401
Effingham County (217) 540-5800
RACHEL SHEPARD
Dentist
1200 NETWORK CENTRE DR
EFFINGHAM, IL 62401
Effingham County (217) 540-5100
KOURTNEY STOMBAUGH
Dentist
1200 NETWORK CENTRE DR
EFFINGHAM, IL 62401
Effingham County (618) 288-6699
ANTHONY TOSSONA
Dentist
1200 NETWORK CENTRE DR
EFFINGHAM, IL 62401
Effingham County (217) 540-8386
DERICK BRIGHT
Dentist
1200 NETWORK CENTRE DR
EFFINGHAM, IL 62401
Effingham County (217) 540-8386
NEGAR MAHMOUDZADEH
Dentist
1200 NETWORK CENTRE DR
EFFINGHAM, IL 62401
Effingham County (217) 540-5100
RAFAEL MARTINEZ
Dentist
1200 NETWORK CENTRE DR
EFFINGHAM, IL 62401
Effingham County (217) 540-5100
HEARTLAND DENTAL CARE OF OH, RICHARD E WORKMAN, DMD PS
Dentist (General Practice)
1200 NETWORK CENTRE DR
EFFINGHAM, IL 62401
Effingham County (217) 540-5100

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 1891843595. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Central Illinois Oral Surgery.

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

Central Illinois Oral And Maxillofacial Surgery, PC is located at 1200 Network Centre Dr Suite B, Effingham, IL 62401. The listed phone number is (217) 540-5800.

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.

What insurance does Central Illinois Oral And Maxillofacial Surgery, PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Central Illinois Oral And Maxillofacial Surgery, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Illinois Oral And Maxillofacial Surgery, PC was last updated on June 29, 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.