Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN SPENCER PHELPS, DDS
Active Sole ProprietorDR. JOHN SPENCER PHELPS, DDS is a Dentist healthcare provider located in MAKANDA, Illinois. NPI 1033469036 is currently active in the NPPES registry. Verify at CMS.
Dentist · MAKANDA, IL
Registration Details
- NPI Number
- 1033469036
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2012 (13.920115437547 yrs)
- Last Updated
- Sep 17, 2012
- Licenses
-
019014490 (IL)021000826 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
180 STONE LAKE DRMAKANDA, IL, 629582730Browse IL providers · Browse ZIP 62958
- Phone
- 6185494550
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Orthodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.