Individual
WILLIAM JONES PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
698 MEDICAL PARK LANE, GAINESVILLE, GA 30501
(770) 718-1090
(770) 718-0198
Mailing address
698 MEDICAL PARK LANE, GAINESVILLE, GA 30501
(770) 718-1090
(770) 718-0198
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN009961
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN9961
GA
Other
Enumeration date
10/12/2006
Last updated
04/23/2020
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