Individual provider · Type 1 NPI
Shima Phoenix, DMD
Dentist · Mount Vernon, IL
Practice location
4201 Broadway St
Mount Vernon, IL 62864-2282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 019.030430 (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…
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About NPI 1588040976
Shima Phoenix, DMD's National Provider Identifier is 1588040976, issued on Aug 7, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Mount Vernon, IL. The record was last updated on Aug 20, 2015.