Organization
PAUL JEFFREY PHILLIPS D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JEFFREY PHILLIPS D.D.S. (OWNER/DENTIST)
(865) 483-7851
Entity
Organization
Contact information
Practice address
400 LABORATORY RD, SUITE 101, OAK RIDGE, TN 37830-6810
(865) 483-7851
(865) 483-6391
Mailing address
400 LABORATORY RD, SUITE 101, OAK RIDGE, TN 37830-6810
(865) 483-7851
(865) 483-6391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4350
TN
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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