Individual
DR. DARRYL EDWARD PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
323 FOX RD, SUITE 100, KNOXVILLE, TN 37922-3383
(865) 357-5560
(865) 357-5562
Mailing address
323 FOX RD, SUITE 100, KNOXVILLE, TN 37922-3383
(865) 357-5560
(865) 357-5562
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8478
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169787
TENN CARE PAYEE ID
TN
01
—
9183560
TENN CARE PROVIDER ID
TN
Enumeration date
11/08/2006
Last updated
07/08/2007
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