Darryl Edward Phillips in Knoxville - Pediatric Dentistry

Darryl Edward Phillips - NPI 1497825376

Darryl Edward Phillips is a Pediatric Dentistry in Knoxville, Tennessee. Darryl Edward Phillips practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Darryl Edward Phillips is 1497825376. The last update date is 2007-07-08.

Darryl Edward Phillips's current location address is 323 Fox Rd, Knoxville, Tennessee. You can contact this provider via phone number 8653575560 and fax number 8653575562. The mailing address for Darryl Edward Phillips is 323 Fox Rd, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Darryl Edward Phillips
Address 323 Fox Rd, Knoxville, Tennessee
Phone Number 8653575560
Fax Number 8653575562
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1497825376
Provider Enumeration Date 2006-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 323 Fox Rd
City Knoxville
State Tennessee (TN)
Post Code 379223383
Phone Number 8653575560
Fax Number 8653575562

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 8478
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
169787 TN TENN CARE PAYEE ID
9183560 TN TENN CARE PROVIDER ID

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FAQs about Darryl Edward Phillips

What is the unique 10-digit identifier code issued to Darryl Edward Phillips by the Centers for Medicare & Medicaid Services?

The Darryl Edward Phillips has been assigned the NPI (National Provider Identifier) 1497825376 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Darryl Edward Phillips?

The Darryl Edward Phillips is situated at 323 Fox Rd, in the city of Knoxville, state of TN, with the zip code 379223383.

What is Darryl Edward Phillips's specialized field of practice, and what is the corresponding taxonomy classification code?

The Darryl Edward Phillips's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

When was the Darryl Edward Phillips's 1497825376 issued?

The Darryl Edward Phillips's 1497825376 was issued on 2006-11-08.

When was the Darryl Edward Phillips's information last updated?

The Darryl Edward Phillips's information was last updated on 2007-07-08.

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