Individual
DR. ANDREW JASON PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
807 WEST CENTERTON BLVD, CENTERTON, AR 72719
(479) 224-6616
(479) 224-6749
Mailing address
PO BOX 372, CENTERTON, AR 72719-0372
(479) 224-6616
(479) 244-6749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4109
AR
Other
Enumeration date
08/02/2016
Last updated
09/14/2016
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