Shane L. Phillips in Provo - General Practice
Shane L. Phillips - NPI 1700913894
Shane L. Phillips is a General Practice in Provo, Utah. Shane L. Phillips practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shane L. Phillips is 1700913894. The last update date is 2014-04-04.
Shane L. Phillips's current location address is 1355 N University Ave Ste 330, Provo, Utah. You can contact this provider via phone number 8013776453. The mailing address for Shane L. Phillips is 1355 N University Ave Ste 330, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane L. Phillips |
|---|---|
| Address | 1355 N University Ave Ste 330, Provo, Utah |
| Phone Number | 8013776453 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1700913894 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2014-04-04 |
Provider Mailing Address Detail
| Address | 1355 N University Ave Ste 330 |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846042721 |
| Phone Number | 8013776453 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 342924-9922 |
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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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What is the unique 10-digit identification code assigned to Shane L. Phillips by the Centers for Medicare & Medicaid Services?
The Shane L. Phillips has been issued the NPI (National Provider Identifier) 1700913894, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shane L. Phillips located?
The Shane L. Phillips is located at 1355 N University Ave Ste 330, Provo, UT 846042721.
What is Shane L. Phillips's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shane L. Phillips is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700913894 to Shane L. Phillips?
The Shane L. Phillips received its 1700913894 assignment from the Centers for Medicare & Medicaid Services on 2007-02-27.
When was the information related to Shane L. Phillips most recently updated or refreshed?
The details pertaining to the Shane L. Phillips, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-04-04.