DR. Philip R Banghart, D.D.S.

NPI #1982609087 in Mattoon, Illinois

Provider Information

NPI Number
1982609087
Entity Type
Individual
Name
DR. Philip R Banghart, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.D.S.
Enumeration Date
Jun 15, 2005
Last Updated
Nov 10, 2008

Practice Location

Address
102 PROFESSIONAL PLZ
ZIP Code
61938-9252
Phone
(217) 345-7070

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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