Phillips, Travis Pemelton

Phillips, Travis Pemelton is an sole proprietor health care provider with primary practice located at 1695 Golden Springs Rd , Anniston AL 36207-7097. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Phillips, Travis Pemelton can be contacted via phone (256) 831-1333.

Contact Information

Primary practice address
1695 Golden Springs Rd Anniston AL 36207-7097
Phone: (256) 831-1333
Fax: (256) 831-1837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4871 Alabama

Profile Details

NPI number 1881707057
LBN Legal business name Phillips, Travis Pemelton
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Feb 1st, 2013 - about 13 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 1881707057 NPPES
Alabama Other 971939 UNITED CONCORDIA
Alabama Other 51520429 UNITED CONCORDIA

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