# PHILLIPS DENTAL SLEEP SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1629629316
- **Authorized official:** DR. GLENN PHILLIPS DMD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (201) 891-5154

## Contact information

- **Practice address:** 235 MADISON AVE, WYCKOFF, NJ 07481-1948
- **Practice address phone:** (201) 891-5154
- **Mailing address:** 235 MADISON AVE, WYCKOFF, NJ 07481-1948

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2019
- **Last updated:** 09/24/2019