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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164408449 NPPES
North Carolina MEDICAID 8996864

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