| Phillip M. Jensen, D.m.d., P.c. | |
|
2606 Marketplace Dr Springfield IL 62702-1467 | |
| (217) 753-8690 | |
| Not Available |
| Full Name | Phillip M. Jensen, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2606 Marketplace Dr, Springfield, Illinois |
| Authorized Official Name and Position | Phillip Jensen (PRESIDENT) |
| Authorized Official Contact | 2177538690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip M. Jensen, D.m.d., P.c. 2606 Marketplace Dr Springfield IL 62702-1467 Ph: (217) 753-8690 | Phillip M. Jensen, D.m.d., P.c. 2606 Marketplace Dr Springfield IL 62702-1467 Ph: (217) 753-8690 |
| NPI Number | 1134494289 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 03/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134494289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019020843 (Illinois) | Primary |
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