Individual
JOHN C. PHILLIPS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2900 W. GRAND AVE., CHICKASHA, OK 73018
(405) 222-0222
(405) 222-0210
Mailing address
2900 W. GRAND AVE., CHICKASHA, OK 73018
(405) 222-0222
(405) 222-0210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
BP5225277
OK
Other
Enumeration date
06/16/2006
Last updated
11/29/2007
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