Organization
BLAKE PHILLIPS D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BLAKE PHILLIPS DMD (ORAL AND MAXILLOFACIAL SURGEON)
(205) 933-1332
Entity
Organization
Contact information
Practice address
1112 19TH ST S, BIRMINGHAM, AL 35205-4814
(205) 933-1331
Mailing address
1112 19TH ST S, BIRMINGHAM, AL 35205-4814
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
11/14/2019
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