Search › Illinois › 122300000X
John Phelps, DDS
NPI 1033469036 · on the registry since 2012 · sole proprietor
Practice
- Address
- 180 Stone Lake Dr
Makanda, IL 62958 - Phone
- (618) 549-4550
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223X0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-17
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