Justin D. Phillips in Santa Rosa - General Practice

Justin D. Phillips - NPI 1184812091

Justin D. Phillips is a General Practice in Santa Rosa, California. Justin D. Phillips practices all healthcare services and medical treatments related to General Practice. The NPI Number for Justin D. Phillips is 1184812091. The last update date is 2007-10-05.

Justin D. Phillips's current location address is 2655 Cleveland Ave Ste B, Santa Rosa, California. You can contact this provider via phone number 7075421026 and fax number 7075421058. The mailing address for Justin D. Phillips is 2655 Cleveland Ave Ste B, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Justin D. Phillips
Address 2655 Cleveland Ave Ste B, Santa Rosa, California
Phone Number 7075421026
Fax Number 7075421058
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1184812091
Provider Enumeration Date 2007-10-05
Last Updated Date 2007-10-05

Provider Mailing Address Detail

Address 2655 Cleveland Ave Ste B
City Santa Rosa
State California (CA)
Post Code 954032779
Phone Number 7075421026
Fax Number 7075421058

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 43845
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Justin D. Phillips

What is the unique identifier code issued to Justin D. Phillips by the Centers for Medicare & Medicaid Services?

The Justin D. Phillips has been assigned the NPI (National Provider Identifier) 1184812091. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Justin D. Phillips is physically located?

The Justin D. Phillips is situated at the following address: 2655 Cleveland Ave Ste B, Santa Rosa, CA 954032779.

What is the Justin D. Phillips's area of specialization and corresponding taxonomy classification?

The Justin D. Phillips's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Justin D. Phillips receive its 1184812091 assignment from the Centers for Medicare & Medicaid Services?

The Justin D. Phillips was assigned its 1184812091 by the Centers for Medicare & Medicaid Services on 2007-10-05.

When was the information related to Justin D. Phillips most recently updated or refreshed?

The details pertaining to the Justin D. Phillips, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-05.

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