| Phillips Dentistry, Ps. | |
|
5615 Valley Ave E Tacoma WA 98424-2060 | |
| (253) 922-6822 | |
| (253) 922-3513 |
| Full Name | Phillips Dentistry, Ps. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5615 Valley Ave E, Tacoma, Washington |
| Authorized Official Name and Position | Keith Martin Phillips (OWNER) |
| Authorized Official Contact | 2539226822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Dentistry, Ps. 5615 Valley Ave E Fife WA 98424-2060 Ph: (253) 922-6822 | Phillips Dentistry, Ps. 5615 Valley Ave E Tacoma WA 98424-2060 Ph: (253) 922-6822 |
| NPI Number | 1396026209 |
|---|---|
| Provider Enumeration Date | 09/06/2011 |
| Last Update Date | 01/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396026209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (Washington) | Primary |
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