# DIMITRY T PHILIPOVITCH, DDS, PLLC

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

## Provider details

- **NPI number:** 1568868040
- **Authorized official:** DR. DIMITRY PHILIPOVITCH DDS (MANAGER)
- **Authorized official phone:** (415) 519-7374

## Contact information

- **Practice address:** 9400 N CENTRAL EXPY, SUITE 220, DALLAS, TX 75231-5027
- **Practice address phone:** (214) 368-0514
- **Mailing address:** 9400 N CENTRAL EXPY, SUITE 220, DALLAS, TX 75231-5027
- **Mailing address phone:** (214) 368-0514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 29435 | TX | Yes |

## Other

- **Enumeration date:** 11/11/2014
- **Last updated:** 11/11/2014