James D. Phillips, Dmd,psc | |
125 E Main St Providence KY 42450-1268 | |
(270) 667-7301 | |
(270) 667-7630 |
Full Name | James D. Phillips, Dmd,psc |
---|---|
Speciality | Dentist - General Practice |
Location | 125 E Main St, Providence, Kentucky |
Authorized Official Name and Position | James D. Phillips (PRESIDENT) |
Authorized Official Contact | 2706677301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
James D. Phillips, Dmd,psc 125 E Main St Providence KY 42450-1268 Ph: (270) 667-7301 | James D. Phillips, Dmd,psc 125 E Main St Providence KY 42450-1268 Ph: (270) 667-7301 |
NPI Number | 1588832828 |
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Provider Enumeration Date | 02/20/2008 |
Last Update Date | 04/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588832828 | NPI | - | NPPES |
60038882 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Paige P. Warren Dmd Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Main St, Providence, KY 42450 Phone: 270-667-7301 Fax: 270-667-7630 |