Koh, Philip I

Koh, Philip I is an individual health care provider with primary practice located at 14016 Sullyfield Cir Ste B , Chantilly VA 20151-4010. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Koh, Philip I can be contacted via phone (703) 815-0699.

Contact Information

Primary practice address
14016 Sullyfield Cir Ste B Chantilly VA 20151-4010
Phone: (703) 815-0699
Fax: (703) 815-0692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901019018 Michigan
Dental Providers / General Practice 1223G0001X 2901019018 Michigan

Profile Details

NPI number 1104940840
LBN Legal business name Koh, Philip I
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Feb 5th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104940840 NPPES
Michigan Other 1958112110 BCBS OF MI MED SURGICAL
Michigan Other D910180 BCBS OF MI MED SURGICAL

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