Champaign Oral Surgery Center – Oral and Maxillofacial Surgery (Dentist), NPI 1669540399
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Champaign Oral Surgery Center
Family Dental Care of Champaign, 14, East Anthony Drive, Champaign, Champaign County, Illinois, 61820, United States
SUITE C
CHAMPAIGN, IL 618202748
Phone: (217) 355-2809
Fax: (217) 355-5921
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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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-01-16
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61820)
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