Organization Name: | DANIEL E. PHILLIPS, D.D.S., P.L.L.C. |
NPI Number: | 1518090802 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL E. PHILLIPS (DENTIST) |
Mailing Address: | 4001 E Henrietta Rd Henrietta |
State: | NY US |
Postal Code: | 144679780 |
Phone Number: | 5853345544 |
Fax Number: | 5853346308 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 043684-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |