Phillips, Hayden R.

Phillips, Hayden R. is an individual health care provider with primary practice located at 1012 Ival James Blvd C, Richmond KY 40475-8174. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Phillips, Hayden R. can be contacted via phone (859) 626-9620.

Contact Information

Primary practice address
1012 Ival James Blvd C Richmond KY 40475-8174
Phone: (859) 626-9620
Fax: (859) 626-9622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7982 Kentucky

Profile Details

NPI number 1861597718
LBN Legal business name Phillips, Hayden R.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Apr 21st, 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 1861597718 NPPES
Kentucky Other 1500 BLUE CROSS/BLUE SHIELD ID
Kentucky MEDICAID 61901088 BLUE CROSS/BLUE SHIELD ID
Kentucky MEDICAID 60003282 BLUE CROSS/BLUE SHIELD ID
Kentucky MEDICAID 61901211 BLUE CROSS/BLUE SHIELD ID
Kentucky Other 7982 BLUE CROSS/BLUE SHIELD ID

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