SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. – Oral and Maxillofacial Surgery (Dentist), NPI 1538180617

SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. is a healthcare provider. based in Belleville, Illinois. specializing in Oral and Maxillofacial Surgery (Dentist). The organization holds a License No. 021-001364 (IL). The NPI Number for SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. is 1538180617

Main info

Organization
Name
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD.
NPI
1538180617
Phone
(618) 233-8080
Address
2900 FRANK SCOTT PKWY W
Authorized Official
DR. MICHAEL R. HESTERBERG PRESIDENT D.M.D.
Enumeration Date
22 July 2006
Last Update Date
24 November 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD.

  • Frank Scott Parkway West, Gartside, Belleville, Saint Clair County, Illinois, 62223, United States

    SUITE 960

    BELLEVILLE, IL 622235000

    Phone: (618) 233-8080

    Fax: (618) 233-1192

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62223)

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Reviews

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Frequently asked questions

Can I use this page to confirm SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD.'s NPI?
Yes. SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. is listed with NPI 1538180617 in the public NPI dataset.
Is SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. listed as active for patients and plans?
The listing shows SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. as active in the NPI system.
What healthcare role does SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. hold?
Scheduling teams often label SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. under Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Does SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. list a practice location?
Patients near Belleville, Illinois may find SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD. in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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