| W Jones Phillips Dds | |
|
698 Medical Park Ln Gainesville GA 30501-2084 | |
| (770) 718-1090 | |
| (770) 718-0198 |
| Full Name | W Jones Phillips Dds |
|---|---|
| Speciality | Dentist |
| Location | 698 Medical Park Ln, Gainesville, Georgia |
| Authorized Official Name and Position | William Jones Phillips (DENTIST) |
| Authorized Official Contact | 7707181090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| W Jones Phillips Dds 698 Medical Park Ln Gainesville GA 30501-2084 Ph: (770) 718-1090 | W Jones Phillips Dds 698 Medical Park Ln Gainesville GA 30501-2084 Ph: (770) 718-1090 |
| NPI Number | 1306108865 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 4486801230 |
|---|---|
| Medicare Enrollment ID | O20121127000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306108865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN009961 (Georgia) | Primary |
| Provider Name | William J Phillips |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659460772 PECOS PAC ID: 1658528401 Enrollment ID: I20120829000702 |
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