Individual
DR. MATTHEW BENJAMIN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BLDG 38717 38TH STREET, FORT GORDON, GA 30905
(706) 787-6927
Mailing address
BLDG 38717 38TH STREET, FORT GORDON, GA 30905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054351
NY
122300000X
Dentist
DEN.00009022
CO
1223E0200X
Endodontics
Primary
DEN.00009022
CO
Other
Enumeration date
05/11/2006
Last updated
03/10/2023
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