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Individual

DR. BILLY JAMES PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND, ATTN: MEDICAL STAFF SERV, JACKSONVILLE, FL 32212-0140
(904) 542-7200
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-5832

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
MILITARY EXEMPT STAT
MI
1223G0001X
General Practice Dentistry
0401008067
VA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
0401008067
VA

Other

Enumeration date
01/23/2006
Last updated
08/02/2019
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