John Spencer Phelps, DDS

Dentist · Makanda, IL

Individual Active NPI

NPI number 1033469036

Practice location

180 Stone Lake Dr
Makanda, IL 62958-2730

Phone: (618) 549-4550

Open in Google Maps

NPI record

NPI: 1033469036
Entity type: Individual (Type 1)
Enumeration date: September 17, 2012
Last updated: September 17, 2012
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Dentist Primary	`122300000X`	019014490	IL
Orthodontics and Dentofacial Orthopedics Dentistry	`1223X0400X`	021000826	IL

Mailing address

180 Stone Lake Drive
Makanda, IL 62958-2730

Phone: (618) 549-4550

About Dr. Phelps

John Spencer Phelps, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 180 Stone Lake Dr, Makanda, IL 62958-2730. The NPI number 1033469036 was assigned on September 17, 2012 and the record was last updated on September 17, 2012.

Dr. Phelps lists 2 licenses in the registry: #019014490 (IL) for Dentist; #021000826 (IL) for Orthodontics and Dentofacial Orthopedics Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Spencer Phelps, DDS?

The NPI number is 1033469036.

What is the phone number of Dr. Phelps?

The phone number listed for the practice location is (618) 549-4550.

Where is Dr. Phelps located?

180 Stone Lake Dr, Makanda, IL 62958-2730.

What is the taxonomy code for Dr. Phelps?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.