Dr. Philip R Banghart, DDS
Dr. Philip R Banghart, DDS is a Maxillofacial Surgery in Mattoon, Illinois. Graduated from Univ of Illinois at Chicago College of Dentistry in 1988, 38 years ago. Practices with Affiliates in Oral and Maxillofacial Surgery Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 38
- Trained at
- Univ of Illinois at Chicago College of Dentistry
- Licensed in
- IL
- In the registry since
- 2005
What do these letters mean?
- DDS — Doctor of Dental Surgery
- A dentist. DDS and DMD are the same qualification — universities choose which title to award.
Practice location Address checks out
102 Professional PlzMattoon, IL 61938-9252
Phone: (217) 345-7070
Fax: (217) 345-7077
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 019-021176 (IL) |
|---|
Record details
| NPI number | 1982609087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2005 |
| Last updated in NPPES | November 10, 2008 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Medical school | UNIV OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY |
| Graduated | 1988 (38 years in practice) |
| Group practice | Affiliates In Oral And Maxillofacial Surgery Ltd — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |