| Phillips Orthodontics | |
|
5605 Odana Rd Madison WI 53719-1207 | |
| (608) 271-9293 | |
| (608) 204-9216 |
| Full Name | Phillips Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5605 Odana Rd, Madison, Wisconsin |
| Authorized Official Name and Position | Jeffrey Joseph Phillips (ORTHODONTIST) |
| Authorized Official Contact | 6082719293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Orthodontics 5605 Odana Rd Madison WI 53719-1207 Ph: (608) 271-9293 | Phillips Orthodontics 5605 Odana Rd Madison WI 53719-1207 Ph: (608) 271-9293 |
| NPI Number | 1104999796 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 12/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104999796 | NPI | - | NPPES |
| 33722200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4603 (Wisconsin) | Primary |
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