Phllip M. Jensen in Springfield - Oral And Maxillofacial Surgery
Phllip M. Jensen - NPI 1699892042
Phllip M. Jensen is a Oral And Maxillofacial Surgery in Springfield, Illinois. Phllip M. Jensen practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Phllip M. Jensen is 1699892042. The last update date is 2012-03-21.
Phllip M. Jensen's current location address is 2606 Marketplace Dr, Springfield, Illinois. You can contact this provider via phone number 2177538690. The mailing address for Phllip M. Jensen is 2606 Marketplace Dr, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phllip M. Jensen |
|---|---|
| Address | 2606 Marketplace Dr, Springfield, Illinois |
| Phone Number | 2177538690 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1699892042 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2012-03-21 |
Provider Mailing Address Detail
| Address | 2606 Marketplace Dr |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627021467 |
| Phone Number | 2177538690 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 019-020843 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19020843 | IL | -- | |
| 33519 | IL | HEALTH ALLIANCE | |
| 442331 | IL | UNITED CONCORDIA | |
| 31898 33225 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Phllip M. Jensen by the Centers for Medicare & Medicaid Services?
The Phllip M. Jensen has been issued the NPI (National Provider Identifier) 1699892042 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Phllip M. Jensen is located?
The Phllip M. Jensen is situated at the following address: 2606 Marketplace Dr, Springfield, IL, 627021467.
What is Phllip M. Jensen's area of expertise and its corresponding taxonomy classification?
The Phllip M. Jensen's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1699892042 assigned to Phllip M. Jensen?
The Phllip M. Jensen was issued its 1699892042 on 2007-03-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Phllip M. Jensen most recently updated or refreshed?
The details pertaining to the Phllip M. Jensen, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-03-21.