SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. is an oral and maxillofacial surgery dentist in Belleville, IL. The provider is the specialty of dentistry which includes 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. SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. NPI is 1538180617. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2900 FRANK SCOTT PKWY W
SUITE 960
BELLEVILLE, IL
ZIP 62223-000
Phone: (618) 233-8080
Fax: (618) 233-1192
The provider's authorized official is Michael R. Hesterberg .
The authorized official title is President and has the following contact phone number (618) 233-8080.
The enumeration date for this NPI number is 7/22/2006 and was last updated on 11/24/2014.