Phillips Orthodontics is a health care provider in Madison, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 5605 Odana Rd, Madison, WI 53719-1207, US |
|Practice Location Phone||608-271-9293|
|Practice Location Fax||608-204-9216|
|Legal Business Name||PHILLIPS ORTHODONTICS|
|Enumeration Date ? ||Nov 15, 2006|
|Last Update Date ? ||Dec 5, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Phillips Orthodontics
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||Orthodontics and Dentofacial Orthopedics ||4603||Wisconsin|
Legacy Provider IDs of Phillips Orthodontics
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Phillips Orthodontics
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Phillips Orthodontics's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Dr. Jeffrey Joseph Phillips (D.D.S, M.S.)|
|Authorized Official Title/Position||ORTHODONTIST|
|Authorized Official Phone Number||608-271-9293|