Phillip M. Jensen, D.M.D., P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019020843 Issued in IL

Legal business name

PHILLIP M. JENSEN, D.M.D., P.C.

Practice address

2606 Marketplace Dr
Springfield, IL 62702-1467

Phone

(217) 753-8690

NPI assigned

Mar 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip Jensen, D.M.D.

Title

President

Phone

(217) 753-8690

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phllip M. Jensen, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Springfield, IL
  • NPI 1699892042
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1134494289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 MARKETPLACE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627021467",
            "telephone_number": "217-753-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 MARKETPLACE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627021467",
            "telephone_number": "217-753-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP M. JENSEN, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-753-8690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019020843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quoc Van Pham, M.D.
• Beth Anne Phelps, ACNP
• Philco Dental Group LLC - Springfield
• Philco Dental Group LLC Springfield West
• Jacob Philip, DDS
• Phillips Investments, LLC - Springfield Operations Series
• Hannah Marie Phillips
• Misty M. Phillips, M.D.
• Paul Phillips, M.D.
• Phoenix Sleep Solutions

• Oral and Maxillofacial Surgery (Dentist) in Springfield, IL
• Providers in Springfield, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.