Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DR PHILLIPS DENTISTRY PLLC
Active
Organization
DR PHILLIPS DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KELLY (OWNER)
(410) 303-1528
Entity
Organization
Contact information
Practice address
7800 W SAND LAKE RD STE 220, ORLANDO, FL 32819-5198
(407) 226-3350
Mailing address
7800 W SAND LAKE RD STE 220, ORLANDO, FL 32819-5198
(407) 226-3350
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN11133
STATE LICENSE
FL
01
—
DN19430
STATE LICENSE
FL
01
—
DN25609
STATE LICENSE
FL
Enumeration date
02/08/2021
Last updated
02/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up