SHAWNEE HILLS ORAL & MAXILLOFACIAL SURGERY, SC is an oral and maxillofacial surgery clinic center in Carbondale, IL. The provider is an oral and maxillofacial surgery clinic or center 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. SHAWNEE HILLS ORAL & MAXILLOFACIAL SURGERY, SC NPI is 1538394556. The provider is registered as an organization entity type.
The provider's business location address is:
2250 N REED STATION RD
SUITE 201
CARBONDALE, IL
ZIP 62901-101
Phone: (618) 519-9363
Fax: (618) 519-9364
The provider's authorized official is Jonathan W. Burton .
The authorized official title is President and has the following contact phone number (618) 519-9363.
The CLIA number assigned to this NPI record is 14D2194725 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/19/2009 and was last updated on 5/19/2009.