Individual
DR. LEXIS PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
871 SAINT GEORGE AVE, WOODBRIDGE, NJ 07095-2514
(732) 634-5200
Mailing address
1399 PARK AVE APT 15B, NEW YORK, NY 10029-4574
(615) 438-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03049400
NJ
1223G0001X
General Practice Dentistry
2023010294
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2022
Last updated
07/31/2024
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