Organization
TRAVIS P. PHILLIPS, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS PHILLIPS DMD (OWNER/DENTIST)
(256) 831-1333
Entity
Organization
Contact information
Practice address
1695 GOLDEN SPRINGS RD, ANNISTON, AL 36207-7097
(256) 831-1333
(256) 831-1837
Mailing address
1695 GOLDEN SPRINGS RD, ANNISTON, AL 36207-7097
(256) 831-1333
(256) 831-1837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4871
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51520429
BCBS
AL
Enumeration date
02/20/2013
Last updated
02/20/2013
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