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Organization
JAMES D. PHILLIPS, DMD,PSC
Active
Organization
JAMES D. PHILLIPS, DMD,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D. PHILLIPS DMD (PRESIDENT)
(270) 667-7301
Entity
Organization
Contact information
Practice address
125 E MAIN ST, PROVIDENCE, KY 42450-1268
(270) 667-7301
(270) 667-7630
Mailing address
125 E MAIN ST, PROVIDENCE, KY 42450-1268
(270) 667-7301
(270) 667-7630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60038882
—
KY
Enumeration date
02/20/2008
Last updated
04/01/2008
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