# UPPER VALLEY DENTAL CENTER

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

## Provider details

- **NPI number:** 1093195117
- **Authorized official:** DR. BRENDA BERNICE PHILLIPS D.D.S (DENTIST)
- **Authorized official phone:** (934) 236-4360

## Contact information

- **Practice address:** 8648 OLD TROY PIKE, HUBER HEIGHTS, OH 45424-1069
- **Practice address phone:** (937) 236-4360
- **Practice address fax:** (937) 236-4365
- **Mailing address:** 8648 OLD TROY PIKE, HUBER HEIGHTS, OH 45424-1069
- **Mailing address phone:** (937) 236-4360
- **Mailing address fax:** (937) 236-4365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 30019980 | OH | Yes |

## Other

- **Enumeration date:** 06/03/2015
- **Last updated:** 06/03/2015