# PHILLIPS AND RUST DDS LLC

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

## Provider details

- **NPI number:** 1962975755
- **Authorized official:** PAUL JEFFREY PHILLIPS DDS (DENTIST)
- **Authorized official phone:** (865) 483-7851

## Contact information

- **Practice address:** 649 BRIARCLIFF AVE, OAK RIDGE, TN 37830-8799
- **Practice address phone:** (865) 483-7851
- **Practice address fax:** (865) 483-6391
- **Mailing address:** 649 BRIARCLIFF AVE, OAK RIDGE, TN 37830-8799
- **Mailing address phone:** (865) 483-7851
- **Mailing address fax:** (865) 483-6391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/04/2019
- **Last updated:** 04/25/2023