SearchIllinois1223G0001X

Jacob Philip, DDS

NPI 1407261852 · on the registry since 2014 · sole proprietor

Practice

Address
802 N 9th St
Springfield, IL 62702
Phone
(847) 701-1457
Fax
(847) 496-7603
Organisation at this address
Familia Dental Springfield Llc
Familia Dental Springfield 2 Llc
Familia Dental Springfield 3 Llc
Familia Dental Springfiedl 5 Llc
Familia Dental Springfield 4 Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-07-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois