DR. Philip R Banghart, D.D.S. is an oral and maxillofacial surgery dentist in Mattoon, IL with 36 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Philip R Banghart, D.D.S. NPI is 1982609087. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIV OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY
Graduation Year:1988
The provider's business location address is:
102 PROFESSIONAL PLZ
MATTOON, IL
ZIP 61938-252
Phone: (217) 345-7070
Fax: (217) 345-7077
The NPI 1982609087 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/15/2005 and was last updated on 11/10/2008.