Individual provider · Type 1 NPI
Philip Conrad Jaynes, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Columbia, MO
Practice location
1502 E Broadway, Ste 209
Columbia, MO 65201-8076
Fax (573) 256-8720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 011954 (MO) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1659376168
Philip Conrad Jaynes, DDS, MS's National Provider Identifier is 1659376168, issued on Jun 21, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Columbia, MO. The record was last updated on Jul 13, 2026.