Individual
MR. JAMES LEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22 NORTH OHIO AVENUE, WELLSTON, OH 45692-0266
(740) 384-6888
Mailing address
PO BOX 266, WELLSTON, OH 45692-0266
(740) 384-6888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OH17194
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0505984
—
OH
Enumeration date
03/29/2007
Last updated
07/08/2007
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