# PHILLIPS DENTISTRY, PS.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Distinctive Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396026209
- **Authorized official:** KEITH MARTIN PHILLIPS D.M.D., M.S.D. (OWNER)
- **Authorized official phone:** (253) 922-6822

## Contact information

- **Practice address:** 5615 VALLEY AVE E, TACOMA, WA 98424-2060
- **Practice address phone:** (253) 922-6822
- **Practice address fax:** (253) 922-3513
- **Mailing address:** 5615 VALLEY AVE E, FIFE, WA 98424-2060
- **Mailing address phone:** (253) 922-6822
- **Mailing address fax:** (253) 922-3513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QD0000X | Dental Clinic/Center | — | WA | Yes |

## Other

- **Enumeration date:** 09/06/2011
- **Last updated:** 01/08/2016