DR. PHLLIP M. JENSEN D.M.D. NPI 1699892042

NPI Information

NPI: 1699892042
Provider Name: DR. PHLLIP M. JENSEN, D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
2606 MARKETPLACE DR
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 753-8690
Get Directions

DR. Phllip M. Jensen, D.M.D. is an oral and maxillofacial surgery dentist in Springfield, IL. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Phllip M. Jensen, D.M.D. NPI is 1699892042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2606 MARKETPLACE DR
SPRINGFIELD, IL
ZIP 62702-467
Phone: (217) 753-8690

The NPI 1699892042 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/22/2007 and was last updated on 3/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	019-020843	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	442331	OTHER	ILLINOIS	UNITED CONCORDIA
2	033519	OTHER	ILLINOIS	HEALTH ALLIANCE
3	019020843	MEDICAID	ILLINOIS
4	U43366	MEDICARE UPIN	ILLINOIS
5	475820	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
6	31898 33225	OTHER	ILLINOIS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »