ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD is an oral and maxillofacial surgery dentist in Peoria, IL. The provider is 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. ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD NPI is 1154357291. The provider is registered as an organization entity type and is a multiple single specialty group. The provider Other Name Is Associated Oral Surgeons.
The provider's business location address is:
5720 N KNOXVILLE AVE PEORIA, IL ZIP 61614-331 Phone: (309) 682-1213 Fax: (309) 682-5386
The provider's authorized official is Robyn Wolfe . The authorized official title is Practice Leader and has the following contact phone number (309) 682-1249.
The enumeration date for this NPI number is 6/23/2006 and was last updated on 11/5/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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