SearchIllinoisOral and Maxillofacial Surgery (Dentist)

Robert Busch, DMD MD

NPI 1467669762 · on the registry since 2007

Practice

Address
2807 N Knoxville Ave
Peoria, IL 61604
Phone
(309) 682-1213
Fax
(309) 682-1213
Clinicians at this address
4

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois