Keith Martin Phillips in Tacoma - Prosthodontics
Keith Martin Phillips - NPI 1063638310
Keith Martin Phillips is a Prosthodontics in Tacoma, Washington. Keith Martin Phillips practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Keith Martin Phillips is 1063638310. The last update date is 2015-11-19.
Keith Martin Phillips's current location address is 5619 Valley Ave E, Tacoma, Washington. You can contact this provider via phone number 2539225519. The mailing address for Keith Martin Phillips is 5619 Valley Ave E, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Martin Phillips |
|---|---|
| Address | 5619 Valley Ave E, Tacoma, Washington |
| Phone Number | 2539225519 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D., M. |
NPI Number Detail
| NPI Number | 1063638310 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2015-11-19 |
Provider Mailing Address Detail
| Address | 5619 Valley Ave E |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984242060 |
| Phone Number | 2539225519 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 602396104 |
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Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique identification code assigned to Keith Martin Phillips by the Centers for Medicare & Medicaid Services?
The Keith Martin Phillips has been issued the NPI (National Provider Identifier) 1063638310. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Keith Martin Phillips?
The Keith Martin Phillips is situated at 5619 Valley Ave E, in the city of Tacoma, state of WA, with the zip code 984242060.
What is the Keith Martin Phillips's specialty and taxonomy code?
The Keith Martin Phillips's specialty is Prosthodontics, and the corresponding taxonomy code is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063638310 to Keith Martin Phillips?
The Centers for Medicare & Medicaid Services originally issued the 1063638310 to Keith Martin Phillips on 2007-04-17.
As of what date were the details related to Keith Martin Phillips most recently updated or revised?
The information pertaining to Keith Martin Phillips, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-19.
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