Phillips Orthodontics in Madison - Orthodontics And Dentofacial Orthopedics
Phillips Orthodontics - NPI 1104999796
Phillips Orthodontics is a Orthodontics And Dentofacial Orthopedics in Madison, Wisconsin. Phillips Orthodontics practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Phillips Orthodontics is 1104999796. The last update date is 2014-12-05.
Phillips Orthodontics's current location address is 5605 Odana Rd, Madison, Wisconsin. You can contact this provider via phone number 6082719293 and fax number 6082049216. The mailing address for Phillips Orthodontics is 5605 Odana Rd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phillips Orthodontics |
|---|---|
| Address | 5605 Odana Rd, Madison, Wisconsin |
| Phone Number | 6082719293 |
| Fax Number | 6082049216 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORTHODONTI |
|---|---|
| Authorized Official Name | Phillips Joseph Jeffrey |
| Credentials | D.D.S, M.S |
| Telephone Number | 6082719293 |
NPI Number Detail
| NPI Number | 1104999796 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2014-12-05 |
Provider Mailing Address Detail
| Address | 5605 Odana Rd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537191207 |
| Phone Number | 6082719293 |
| Fax Number | 6082049216 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4603 |
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Definition: 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 rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33722200 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Phillips Orthodontics?
The Phillips Orthodontics has been issued the NPI (National Provider Identifier) 1104999796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Phillips Orthodontics's facilities are situated?
The facilities of Phillips Orthodontics are physically located at the following address: 5605 Odana Rd, Madison, WI, 537191207.
What is the Phillips Orthodontics's area of specialization and corresponding taxonomy classification?
The Phillips Orthodontics's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date was the 1104999796 assigned to Phillips Orthodontics?
The Phillips Orthodontics was issued its 1104999796 on 2006-11-15, 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 Phillips Orthodontics most recently updated or refreshed?
The details pertaining to the Phillips Orthodontics, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-12-05.