Organization
PHILLIPS AND RUST DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JEFFREY PHILLIPS DDS (DENTIST)
(865) 483-7851
Entity
Organization
Contact information
Practice address
649 BRIARCLIFF AVE, OAK RIDGE, TN 37830-8799
(865) 483-7851
(865) 483-6391
Mailing address
649 BRIARCLIFF AVE, OAK RIDGE, TN 37830-8799
(865) 483-7851
(865) 483-6391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/04/2019
Last updated
04/25/2023
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