Phillips, Jeffrey Joseph

Phillips, Jeffrey Joseph is an sole proprietor health care provider with primary practice located at 5605 Odana Rd , Madison WI 53719-1207. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Phillips, Jeffrey Joseph can be contacted via phone (608) 271-9293.

Contact Information

Primary practice address
5605 Odana Rd Madison WI 53719-1207
Phone: (608) 271-9293
Fax: (608) 204-9216
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4603 Wisconsin

Profile Details

NPI number 1518030196
LBN Legal business name Phillips, Jeffrey Joseph
Credentials D.D.S.,M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518030196 NPPES
Wisconsin MEDICAID 33722200

Popular Providers