Individual
HAYDEN R. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1012 IVAL JAMES BLVD, C, RICHMOND, KY 40475-8174
(859) 626-9620
(859) 626-9622
Mailing address
1012 IVAL JAMES BLVD, C, RICHMOND, KY 40475-8174
(859) 626-9620
(859) 626-9622
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us