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Phillips Orthodontics

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.

physician-icon Basic Information

Practice Location 5605 Odana Rd, Madison, WI 53719-1207, US
Practice Location Phone608-271-9293
Practice Location Fax608-204-9216
Legal Business NamePHILLIPS ORTHODONTICS
NPI ?1104999796
Entity TypeOrganization
Enumeration Date ? Nov 15, 2006
Last Update Date ? Dec 5, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Phillips Orthodontics

SpecialtySpecializationLicenseLicense State
DentistOrthodontics and Dentofacial Orthopedics 4603Wisconsin

legacy-id-icon Legacy Provider IDs of Phillips Orthodontics

Provider IdIssuer StateIssuer TypeIssuer
33722200WisconsinMedicaid

official-icon 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/PositionORTHODONTIST
Authorized Official Phone Number608-271-9293