Individual
DR. PHILLIP STANLEY FRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
714 WALNUT ST, ANDERSON, IN 46012-3450
(765) 649-0611
(765) 649-0835
Mailing address
714 WALNUT ST, ANDERSON, IN 46012-3450
(765) 649-0611
(765) 649-0835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007236A
IN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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