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Dr. Phllip M. Jensen, DMD
Oral and Maxillofacial Surgery (Dentist) in Springfield, Illinois
NPI 1699892042

Phllip M. Jensen is a Oral and Maxillofacial Surgery (Dentist) based in Springfield, IL and is specialized in Oral and Maxillofacial Surgery. Phllip M. Jensen practices in Springfield, IL and has the professional credentials of DMD. The NPI Number for Phllip M. Jensen is 1699892042 and holds a License No. 019-020843 (Illinois).

The current practice location address for Phllip M. Jensen is 2606 Marketplace Dr, Springfield, IL and can be reached out via phone at 217-753-8690.

Location: 2606 Marketplace Dr, Springfield, IL, 62702-1467
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Provider Profile Details
NPI Number
1699892042
Provider Name
Phllip M. Jensen
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2606 Marketplace Dr, Springfield, IL, 62702-1467
Phone Number
217-753-8690
Fax Number
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019020843 05 IL
033519 01 IL HEALTH ALLIANCE
442331 01 IL UNITED CONCORDIA
31898 33225 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
2606 Marketplace Dr
City
State
Zip
62702-1467
Phone Number
217-753-8690
Fax Number
person
Provider Business Mailing Address Details
Address
2606 Marketplace Dr
City
State
Zip
62702-1467
Phone Number
217-753-8690
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
019-020843 (Illinois)
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.
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