| Rachelle I. Phillips Dmd, P.c. | |
|
2006 Mall St Collinsville IL 62234-1831 | |
| (618) 345-8333 | |
| Not Available |
| Full Name | Rachelle I. Phillips Dmd, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2006 Mall St, Collinsville, Illinois |
| Authorized Official Name and Position | Rachelle I Phillips (PRESIDENT) |
| Authorized Official Contact | 6189548029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachelle I. Phillips Dmd, P.c. 20 Ginger Creek Dr Glen Carbon IL 62034-3403 Ph: (618) 954-8029 | Rachelle I. Phillips Dmd, P.c. 2006 Mall St Collinsville IL 62234-1831 Ph: (618) 345-8333 |
| NPI Number | 1619573201 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619573201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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