Jonathan Phen is a East Peoria, Illinois based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jonathan Phen is 019034133 for Dentistry in Illinois. His current practice location is 502 Riverside Dr, East Peoria. Patients can reach him at 309-606-5008.
Jonathan Phen is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jonathan Phen 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:
Jonathan Phen
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
502 Riverside Dr, East Peoria, Illinois, 61611-2068
Phone:
309-606-5008
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.
NPI Number:
1093400160
NPI Enumeration Date:
05 Apr, 2023
NPI Last Update On:
10 Apr, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan Phen are as mentioned below.
License Number
Specialization
State
Status
019034133
Dentistry
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2121 45th St Apt 2322, Highland, Indiana
Zip:
46322-0006
Phone Number:
954-997-4175
Patients can reach Jonathan Phen at 502 Riverside Dr, East Peoria, Illinois or can call to book an appointment on 309-606-5008. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.