Organization
ROBERT C PHILLILPS JR DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PHILLIPS JR. DDS (PRESIDENT)
(704) 889-7525
Entity
Organization
Contact information
Practice address
526 MAIN STREET, PINEVILLE, NC 28134
(704) 889-7525
(704) 889-7528
Mailing address
PO BOX 686, PINEVILLE, NC 28134-0686
(704) 889-7525
(704) 889-7528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3390
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996868
—
NC
Enumeration date
06/02/2008
Last updated
06/02/2008
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