Organization · Type 2 NPI
Phillip M. Jensen, D.m.d., P.c.
Oral and Maxillofacial Surgery (Dentist) · Springfield, IL
NPI number
1134494289
Active
Practice location
2606 Marketplace Dr
Springfield, IL 62702-1467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019020843 (IL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Springfield
About NPI 1134494289
Phillip M. Jensen, D.m.d., P.c.'s National Provider Identifier is 1134494289, issued on Mar 21, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Springfield, IL. The record was last updated on Mar 21, 2012.