Phillips, David M
Phillips, David M is an individual health care provider with primary practice located at 991 W Hudson Blvd , Gastonia NC 28052-6430. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Phillips, David M can be contacted via phone (704) 853-5048.Contact Information
Primary practice address
991 W Hudson Blvd
Gastonia NC 28052-6430
Phone: (704) 853-5048
Fax: (704) 671-1404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5877 | North Carolina |
Profile Details
| NPI number | 1164408449 |
|---|---|
| LBN Legal business name | Phillips, David M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Aug 28th, 2015 - about 10 years 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 | 1164408449 | NPPES |
| North Carolina | MEDICAID | 8996864 |
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