Individual
JOSEPH BLAKE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1112 19TH ST S, BIRMINGHAM, AL 35205
(205) 933-1331
Mailing address
1112 19TH ST S, BIRMINGHAM, AL 35205-4814
(205) 933-1331
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6142-C1
AL
Other
Enumeration date
03/31/2014
Last updated
06/04/2024
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