NPI:
1851540330
Provider Name:
CENTRAL ILLINOIS ORAL AND MAXIOFACIAL SURGERY, PC
Doing Business As: DR. FIRAS ALI, DMD
Classification:
Dentist - 1223G0001X
Entity Type:
Organization
Specialization: General Practice
Address:
14 E ANTHONY DR STE C
CHAMPAIGN, IL
ZIP 61820
Phone:
(217) 355-2809
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CENTRAL ILLINOIS ORAL AND MAXIOFACIAL SURGERY, PC is a general practice dentist in Champaign, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CENTRAL ILLINOIS ORAL AND MAXIOFACIAL SURGERY, PC NPI is 1851540330. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Firas Ali, Dmd.
The provider's business location address is:
14 E ANTHONY DR STE C
CHAMPAIGN, IL
ZIP 61820-749
Phone: (217) 355-2809
Fax: (217) 355-5921
The provider's authorized official is Pam Hardiek .
The authorized official title is Insurance/credentialing and has the following contact phone number (217) 540-5100.
The enumeration date for this NPI number is 9/9/2008 and was last updated on 9/11/2008.