Philip, Judy A
Philip, Judy A is an individual health care provider with primary practice located at 833 State Highway 78 , Lavon TX 75166-1303. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Philip, Judy A can be contacted via phone (469) 529-0855.Contact Information
Primary practice address
833 State Highway 78
Lavon TX 75166-1303
Phone: (469) 529-0855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 41294 | Texas |
| Dental Providers / Dentist | 122300000X | 6624 | Oklahoma |
Profile Details
| NPI number | 1972918159 |
|---|---|
| LBN Legal business name | Philip, Judy A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Feb 3rd, 2026 - about 8 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972918159 | NPPES |
| Oklahoma | Other | 360631YRHZ | MEDICARE PTAN |
| Oklahoma | MEDICAID | 200542030A | MEDICARE PTAN |
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