Individual provider · Type 1 NPI
Jonathan Phen
Dentist · East Peoria, IL
Practice location
502 Riverside Dr
East Peoria, IL 61611-2068
Mailing address
2121 45th St Apt 2322
Highland, IN 46322-0006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 019034133 (IL) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
3 other providers at this address
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- Henry C. AnyanaborDentist East Peoria, IL NPI 1285425744
- Thomas R. Nalepka, DDSDentist East Peoria, IL NPI 1326309188
- Lyndon AndrewsDentist East Peoria, IL NPI 1346697380
- Jack Glenn Walz, DDSDentist East Peoria, IL NPI 1427166008
About NPI 1093400160
Jonathan Phen's National Provider Identifier is 1093400160, issued on Apr 5, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in East Peoria, IL. The record was last updated on Apr 10, 2023.