Organization
JAMES B PHILLIPS, MS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B PHILLIPS MS, DDS (PRESIDENT)
(870) 931-3000
Entity
Organization
Contact information
Practice address
2609 BROWNS LN, JONESBORO, AR 72401-7227
(870) 931-3000
(870) 931-0190
Mailing address
2609 BROWNS LN, JONESBORO, AR 72401-7227
(870) 931-3000
(870) 931-0190
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2341
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173346680
—
AR
01
—
T20364
UPIN
AR
Enumeration date
01/05/2012
Last updated
01/05/2012
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