Organization
WILLIAM A. PHILLIPS DMD, PSC
Active
Other names
Dupont Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY KENNEDY (OFFICE MANGAER)
(502) 897-0625
Entity
Organization
Contact information
Practice address
1001 DUPONT SQUARE N, LOUISVILLE, KY 40207-4612
(502) 897-0625
(502) 897-0627
Mailing address
1001 DUPONT SQUARE N, LOUISVILLE, KY 40207-4612
(502) 897-0625
(502) 897-0627
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4017
KY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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