# ROBERT C PHILLILPS JR DDS PA

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

## Provider details

- **NPI number:** 1467610865
- **Authorized official:** ROBERT PHILLIPS JR. DDS (PRESIDENT)
- **Authorized official phone:** (704) 889-7525

## Contact information

- **Practice address:** 526 MAIN STREET, PINEVILLE, NC 28134
- **Practice address phone:** (704) 889-7525
- **Practice address fax:** (704) 889-7528
- **Mailing address:** PO BOX 686, PINEVILLE, NC 28134-0686
- **Mailing address phone:** (704) 889-7525
- **Mailing address fax:** (704) 889-7528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3390 | NC | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8996868 | — | NC |