# PHILLIPS FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043407067
- **Authorized official:** MS. DEBORAH AULT WHITE (PRACTICE MANAGER)
- **Authorized official phone:** (724) 452-9732

## Contact information

- **Practice address:** 204 N MAIN ST, ZELIENOPLE, PA 16063-2306
- **Practice address phone:** (724) 452-9732
- **Mailing address:** 204 N. MAIN ST., ZELIENOPLE, PA 16063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS017888L | PA | Yes |

## Other

- **Enumeration date:** 10/03/2007
- **Last updated:** 10/03/2007