Dr. Philip R Banghart
D.D.S. | Oral and Maxillofacial Surgeon | 37+ years Exp
102 Professional Plz, Mattoon
Illinois, 61938-9252
217-345-7070 217-345-7077
Maps & DirectionsDr. Philip R Banghart is a Mattoon, Illinois based Oral and Maxillofacial Surgeon with
37 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Univ Of Illinois At Chicago College Of Dentistry in 1988. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Philip R Banghart is
019-021176 for Oral and Maxillofacial Surgery in Illinois. His current practice location is
102 Professional Plz, Mattoon. Patients can reach him at
217-345-7070.
Dr. Philip R Banghart deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Philip R Banghart speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Philip R Banghart |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S. |
| Experience: | 37+ years |
| Medical School Attended: | Univ Of Illinois At Chicago College Of Dentistry |
| Graduation Year: | 1988 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 102 Professional Plz, Mattoon,
Illinois, 61938-9252 |
| Phone: | 217-345-7070 |
| Fax: | 217-345-7077 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5193884534 |
| Enrollment ID: | I20081030000324 |
| NPI Number: | 1982609087 |
| NPI Enumeration Date: | 15 Jun, 2005 |
| NPI Last Update On: | 10 Nov, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Philip R Banghart are as mentioned below.
| License Number | Specialization | State | Status | |
| 019-021176 | Oral and Maxillofacial Surgery | Illinois | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Philip R Banghart is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Affiliates In Oral And Maxillofacial Surgery Ltd (0345309779) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Philip R Banghart such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 019-021176 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 102 Professional Plz,
Mattoon, Illinois |
| Zip: | 61938-9252 |
| Phone Number: | 217-345-7070 |
| Fax Number: | 217-345-7077 |
Patients can reach Dr. Philip R Banghart at
102 Professional Plz, Mattoon, Illinois or can
call to book an appointment on 217-345-7070.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.