| Timothy M Phillips Dds Inc | |
|
115 Bank St Lodi OH 44254-1001 | |
| (330) 948-1243 | |
| (330) 948-4706 |
| Full Name | Timothy M Phillips Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 115 Bank St, Lodi, Ohio |
| Authorized Official Name and Position | Timothy Michael Phillips (GENERAL DENTIST) |
| Authorized Official Contact | 3309481243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy M Phillips Dds Inc 115 Bank St Lodi OH 44254-1001 Ph: (330) 948-1243 | Timothy M Phillips Dds Inc 115 Bank St Lodi OH 44254-1001 Ph: (330) 948-1243 |
| NPI Number | 1245721356 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245721356 | NPI | - | NPPES |
| 0220616 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.025077 (Ohio) | Primary |
Jeffrey D Mckinley Etal Ptr Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Harris St, Lodi, OH 44254 Phone: 330-948-1655 | |
John I Meilinger Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Bank St, Lodi, OH 44254 Phone: 330-948-1243 Fax: 330-948-4706 |