# PAUL JEFFREY PHILLIPS D.D.S.

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1417344078
- **Authorized official:** DR. PAUL JEFFREY PHILLIPS D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (865) 483-7851

## Contact information

- **Practice address:** 400 LABORATORY RD, SUITE 101, OAK RIDGE, TN 37830-6810
- **Practice address phone:** (865) 483-7851
- **Practice address fax:** (865) 483-6391
- **Mailing address:** 400 LABORATORY RD, SUITE 101, OAK RIDGE, TN 37830-6810
- **Mailing address phone:** (865) 483-7851
- **Mailing address fax:** (865) 483-6391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS4350 | TN | Yes |

## Other

- **Enumeration date:** 04/22/2015
- **Last updated:** 04/22/2015