Organization
PHILLIPPI DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT BRADFORD PHILLIPPI DDS (OWNER)
(937) 554-1432
Entity
Organization
Contact information
Practice address
7790 DAYTON SPRINGFIELD RD, FAIRBORN, OH 45324-1996
(937) 340-6200
Mailing address
219 N GALLOWAY ST, XENIA, OH 45385-2303
(937) 554-1432
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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