Individual
DR. GREG STEPHEN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1960 JEFFERSON HWY, LUTCHER, LA 70071-5119
(225) 869-4422
(225) 869-8306
Mailing address
1960 JEFFERSON HWY, LUTCHER, LA 70071-5119
(225) 869-4422
(225) 869-8306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3323
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1833231
—
LA
Enumeration date
02/28/2007
Last updated
07/08/2007
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