Phillips, Matthew Benjamin
Phillips, Matthew Benjamin is an individual health care provider with primary practice located at Bldg 38717 38Th Street , Fort Gordon GA 30905. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Phillips, Matthew Benjamin can be contacted via phone (706) 787-6927.Contact Information
Primary practice address
Bldg 38717 38Th Street
Fort Gordon GA 30905
Phone: (706) 787-6927
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DEN.00009022 | Colorado |
| Dental Providers / Dentist | 122300000X | 054351 | New York |
| Dental Providers / Endodontics | 1223E0200X | DEN.00009022 | Colorado |
Profile Details
| NPI number | 1417907338 |
|---|---|
| LBN Legal business name | Phillips, Matthew Benjamin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Mar 10th, 2023 - about 3 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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