# DR. PHILLIP ANTHONY MITCHELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053325167
- **Gender:** Man
- **Credential:** D.M.D, M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 03787 | AL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 17041 | AL | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 06576 | BCBS \# OF AL | AL |