Individual
DR. CHAD WENDELL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 AUBURN ST, PORTLAND, ME 04103-2179
(207) 797-5000
Mailing address
5 RICKER PARK APT C3, PORTLAND, ME 04101-1616
(316) 214-2518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4885
ME
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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