Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Central Illinois Oral and Maxillofacial Surgery, PC

Oral and Maxillofacial Surgery (Dentist) in Effingham, IL · enumerated 2007 · authorized official Amy Kroeger, Ins Coodinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891843595

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Central Illinois Oral and Maxillofacial Surgery, PC

Other name <Unavail>

Parent organization Central Illinois Oral and Maxillofacial Surgery, PC

Practice address 1200 Network Centre Dr, Suite B, Effingham, IL, 62401

Phone (217) 540-5800

Fax (217) 342-2557

Enumeration date Jan 8, 2007

Last updated in NPPES Jun 29, 2023

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 019-024942 (IL) Primary

Authorized official

Name Amy Kroeger

Title Ins Coodinator

Phone (217) 540-5100

Other identifiers

Identifier	Type	State	Issuer
1014426	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Central Illinois Oral and Maxillofacial Surgery, PC?

Central Illinois Oral and Maxillofacial Surgery, PC is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-29.