Individual
DR. DONALD MARVIN PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2295 PARKLAKE DR NE STE 240, ATLANTA, GA 30345-2863
(770) 723-9965
(770) 723-9344
Mailing address
2295 PARKLAKE DR NE STE 240, ATLANTA, GA 30345-2863
(770) 723-9965
(770) 723-9344
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3933
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
013846
GA
Other
Enumeration date
12/20/2005
Last updated
10/25/2023
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