# PAUL JEFFREY PHILLIPS, D.D.S.

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

## Provider details

- **NPI number:** 1578940367
- **Authorized official:** DR. PAUL JEFFREY PHILLIPS D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (865) 483-7851

## Contact information

- **Practice address:** 150 E DIVISION RD, SUITE 1, OAK RIDGE, TN 37830-6938
- **Practice address phone:** (865) 483-4824
- **Practice address fax:** (865) 483-1342
- **Mailing address:** 150 E DIVISION RD, SUITE 1, OAK RIDGE, TN 37830-6938
- **Mailing address phone:** (865) 483-4824
- **Mailing address fax:** (865) 483-1342

## Taxonomy

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

## Other

- **Enumeration date:** 04/30/2015
- **Last updated:** 04/30/2015