Individual
DR. PHLLIP M. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2606 MARKETPLACE DR, SPRINGFIELD, IL 62702-1467
(217) 753-8690
Mailing address
2606 MARKETPLACE DR, SPRINGFIELD, IL 62702-1467
(217) 753-8690
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019-020843
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019020843
—
IL
01
—
033519
HEALTH ALLIANCE
IL
01
—
31898 33225
BCBS
IL
01
—
442331
UNITED CONCORDIA
IL
Enumeration date
03/22/2007
Last updated
03/21/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us