| Phillips Orthodontics | |
|
4425 W Wadley Ave Ste 100 Midland TX 79707-5330 | |
| (432) 203-6905 | |
| Not Available |
| Full Name | Phillips Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4425 W Wadley Ave Ste 100, Midland, Texas |
| Authorized Official Name and Position | Carson Riley Phillips (PRESIDENT) |
| Authorized Official Contact | 4322036905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Orthodontics 4425 W Wadley Ave Ste 100 Midland TX 79707-5330 Ph: (432) 203-6905 | Phillips Orthodontics 4425 W Wadley Ave Ste 100 Midland TX 79707-5330 Ph: (432) 203-6905 |
| NPI Number | 1720642150 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720642150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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