Phillip M. Jensen, D.m.d., P.c.
NPI #1134494289 in Springfield, Illinois
Provider Information
- NPI Number
- 1134494289
- Entity Type
- Organization
- Organization Name
- Phillip M. Jensen, D.m.d., P.c.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 21, 2012
- Last Updated
- Mar 21, 2012
Practice Location
- Address
- 2606 MARKETPLACE DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-1467
- Phone
- (217) 753-8690
Authorized Official
- Name
- DR. PHILLIP JENSEN, D.M.D.
- Title
- PRESIDENT
- Phone
- (217) 753-8690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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