Search › Illinois › 1223S0112X
Philip Banghart, D.D.S
NPI 1982609087 · on the registry since 2005 · sole proprietor
Practice
- Address
- 102 Professional Plz
Mattoon, IL 61938 - Phone
- (217) 345-7070
- Fax
- (217) 345-7077
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-11-10
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