DR. John Spencer Phelps, DDS

NPI #1033469036 in Makanda, Illinois

Provider Information

NPI Number: 1033469036
Entity Type: Individual
Name: DR. John Spencer Phelps, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 17, 2012
Last Updated: Sep 17, 2012

Practice Location

Address: 180 STONE LAKE DR
City: Makanda
State: Illinois
ZIP Code: 62958-2730
Phone: (618) 549-4550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X

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