Crystal L Phillips is a Dentist in Grove, Oklahoma. Crystal L Phillips practices all healthcare services and medical treatments related to Dentist. The NPI Number for Crystal L Phillips is 1124100243. The last update date is 2011-06-17.
Crystal L Phillips's current location address is 2610 Shasten St, Grove, Oklahoma. You can contact this provider via phone number 9187865735. The mailing address for Crystal L Phillips is 2610 Shasten St, Grove, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal L Phillips |
|---|---|
| Address | 2610 Shasten St, Grove, Oklahoma |
| Phone Number | 9187865735 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124100243 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2011-06-17 |
Provider Mailing Address Detail
| Address | 2610 Shasten St |
|---|---|
| City | Grove |
| State | Oklahoma (OK) |
| Post Code | 743444904 |
| Phone Number | 9187865735 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5852 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Crystal L Phillips by the Centers for Medicare & Medicaid Services?
The Crystal L Phillips has been assigned the NPI (National Provider Identifier) 1124100243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Crystal L Phillips located?
The Crystal L Phillips is located at 2610 Shasten St, Grove, OK 743444904.
What is the Crystal L Phillips's area of specialization and corresponding taxonomy classification?
The Crystal L Phillips's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Crystal L Phillips receive its 1124100243 assignment from the Centers for Medicare & Medicaid Services?
The Crystal L Phillips was assigned its 1124100243 by the Centers for Medicare & Medicaid Services on 2006-10-19.
When was the Crystal L Phillips's information last updated?
The Crystal L Phillips's information was last updated on 2011-06-17.
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