Individual provider · Type 1 NPI
Phllip M. Jensen, DMD
Oral and Maxillofacial Surgery (Dentist) · Springfield, IL
NPI number
1699892042
Active
Practice location
2606 Marketplace Dr
Springfield, IL 62702-1467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019-020843 (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
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- Russell Williams, DMD, MSOral and Maxillofacial Surgery (Dentist) Springfield, IL NPI 1386863629
- Eric Kent Woolbright, DDSOral and Maxillofacial Surgery (Dentist) Springfield, IL NPI 1811091499
- Robert A. Colantino, DDSOral and Maxillofacial Surgery (Dentist) Springfield, IL NPI 1922092329
- Phillip N. Wheat, DDS, MSOral and Maxillofacial Surgery (Dentist) Springfield, IL NPI 1932202249
About NPI 1699892042
Phllip M. Jensen, DMD's National Provider Identifier is 1699892042, issued on Mar 22, 2007. 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.