Organization
JOHN L. PHILLIPS, DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LLOYD PHILLIPS DDS (PRESIDENT)
(910) 822-8221
Entity
Organization
Contact information
Practice address
201 S MCPHERSON CHURCH RD STE 102, FAYETTEVILLE, NC 28303-4913
(910) 438-9400
Mailing address
405 SHAWCROFT RD, FAYETTEVILLE, NC 28311-2946
(910) 822-8221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6772
NC
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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