Organization
SCOTT B PHILLIPPI DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT BRADFORD PHILLIPPI DDS (OWNER)
(937) 554-0861
Entity
Organization
Contact information
Practice address
5221 WAYNETOWNE CT, HUBER HEIGHTS, OH 45424-2124
(937) 237-0360
(937) 237-2707
Mailing address
5221 WAYNETOWNE CT, HUBER HEIGHTS, OH 45424-2124
(937) 237-0360
(937) 237-2707
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30022577
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649479643
INDIVIDUAL NPI
OH
Enumeration date
04/09/2015
Last updated
04/09/2015
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