Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Oral & Maxillofacial Surgeons of Central Illinois

Organization Dentist · NPI 1275663338

Oral & Maxillofacial Surgeons of Central Illinois provides Dentist services in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

5009 A Executive Dr
Peoria, IL 61614-4866
Phone: (309) 693-1200
Fax: (309) 693-9998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X (IL)

Record details

NPI number1275663338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Young — Oral And Maxillofacial Surgeon · (309) 693-1200
Other names Dr Robert W Young
NPI enumeratedMarch 7, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address5009 A Executive Drive, Peoria, IL 61614-4866

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