Larry Gordon Phillips, D.M.D. is a pediatric dentistry dentist in Louisville, KY. The provider is 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. Larry Gordon Phillips, D.M.D. NPI is 1366458960. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4514 OUTER LOOP
LOUISVILLE, KY
ZIP 40219-857
Phone: (502) 969-9264
Fax: (502) 969-9535
The NPI 1366458960 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/8/2007.