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Individual

HAYDEN R. PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7982
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1500
BLUE CROSS/BLUE SHIELD ID
KY
05
60003282
KY
05
61901088
KY
05
61901211
KY
01
7982
DELTA DENTAL ID#
KY
Enumeration date
09/14/2006
Last updated
04/21/2015
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