CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C.


Address: 10200 W Main St, Signal Hill Medical Bldg, Belleville, IL 62223-1408
Phone: 6183972464

CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C. (NPI# 1801000443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801000443
Entity Type Organization
Organization Name CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C.
Practice Address 10200 W Main St
Signal Hill Medical Bldg
Belleville
IL 62223-1408
Mailing Address 10200 West Main
Signal Hill Medical Bldg
Belleville
IL 62223
Practice Telephone 6183972464
Practice Fax Number 6183984450
Mailing Telephone 6183972464
Mailing Fax Number 6183984450
Enumeration Date 2007-05-10
Last Update Date 2011-06-03
Authorized Official Name DR. GLENN A MILLER (ORAL & MAXILLOFACIAL SURGEON)
Authorized Official Telephone 6183872464
Authorized Official Credential DDS MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery 060000298 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 10200 W MAIN ST
SIGNAL HILL MEDICAL BLDG
City BELLEVILLE
State IL
Zip Code 62223-1408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316224223 Andrew Philip Monestero Dentist 10200 W Main St, Belleville, IL 62223-1408 2011-11-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699211268 Vip Home Health Services, LLC Home Health 9454 West Main Street Suite B, Belleville, IL 62223 2017-01-06
1659746063 Carmel Brown Counselor 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 2015-12-10
1558743138 Patrick Nakashima-moran Family Medicine 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 2015-06-19
1982039921 Megan Nicole Kirk Counselor 8601 W Main St Ste 201, Belleville, IL 62223 2013-09-10
1043555758 Toni Green Physical Therapy Assistant 400 S 74th St, Belleville, IL 62223 2012-12-06
1356626949 Christopher Patrick Gagen Pharmacist 5890 North Belt West, Belleville, IL 62223 2011-10-15
1861777690 Carmicheal LLC General Practice 8601 West Main St., Ste. 101, Belleville, IL 62223 2011-10-12
1275824096 Pc Associates LLC Family Medicine 2129 W. Main St., Belleville, IL 62223 2011-04-27
1053616763 Abdurrahim M Abdulhadi Anesthesiology 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 2011-01-12
1801031695 Jose Jesus Morales Anesthesiology 204 Warrensburg Drive, Belleville, IL 62223 2008-12-08
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy 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.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922198118 Glenn A Miller Oral & Maxillofacial Surgery 10200 West Main Street, Signal Hill Medical Building, Belleville, IL 62223-1495 2006-10-16
1740697333 Oral Facial Surgery Institute of Il. P.C. Oral & Maxillofacial Surgery 10200 West Main Street, Belleville, IL 62223 2014-07-16
1396835583 Kenneth C Pinkerton Oral & Maxillofacial Surgery 10200 West Main Street, Signal Hill Medical Building, Belleville, IL 62223-1495 2006-10-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760007678 Mandalai Oral and Maxillofacial Surgery PC Oral & Maxillofacial Surgery 720 S. Brom Drive Suite 103, Naperville, IL 60540 2020-06-16
1821652736 Oral and Maxilloficial Head and Neck Associates LLC Oral & Maxillofacial Surgery 811 West Wellington Avenue, Attention: Mohammed Qaisi, Md., Dmd., Chicago, IL 60657-5123 2019-04-25
1396899878 Bradley W Roberts Dmd PC Oral & Maxillofacial Surgery 4 Professional Drive, Alton, IL 62002 2007-01-22
1114025574 Michael John Karakourtis Oral & Maxillofacial Surgery 720 S Brom Drive, Suite #103, Naperville, IL 60540-6595 2006-09-20
1356448344 William Joseph Powell Oral & Maxillofacial Surgery 318 S Washington St, Hinsdale, IL 60521-4433 2006-09-20
1295840304 Khaled Abughazaleh Oral & Maxillofacial Surgery 65 E Scott St Apt 9a, Chicago, IL 60610-5274 2006-08-20
1750360608 Michael R Stohle Oral & Maxillofacial Surgery 500 Davis St, Ste 509, Evanston, IL 60201 2006-01-10
1124027990 Gamal S Naguib Oral & Maxillofacial Surgery 302 E Saint Charles Rd, Villa Park, IL 60181-2420 2005-07-14
1518528165 Ali Al-qudsi Oral & Maxillofacial Surgery 1901 W Harrison St, Chicago, IL 60612-3714 2019-06-25
1669033445 Brett Quinto Oral & Maxillofacial Surgery 1901 W Harrison St, Chicago, IL 60612-3714 2019-06-24
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Competitor

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City BELLEVILLE
Zip Code 62223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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