NPI 1366476947

Jonathan S Bailey, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Urbana, IL

Practice location

Address: 611 W. Park St. Oral and Maxillofacial Surgery, Urbana, IL 61801-2500
Phone: (217) 383-3280
Fax: (217) 383-7071
Mailing address: 611 W. Park St., Urbana, IL 61801-2500

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 036104913 (IL)

Other Oral & Maxillofacial Surgery providers in Illinois →

Registry record

NPI: 1366476947
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2006
Record last updated: 26 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.