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MARK D. PHIPPS DDS NPI 1366573222


NPI Information

NPI: 1366573222
Provider Name: MARK D. PHIPPS DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
161 PALM AVE
SUITE 12
AUBURN, CA
ZIP 95603
Phone: (530) 885-0697
Get Directions

MARK D. PHIPPS DDS is a general practice dentist in Auburn, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MARK D. PHIPPS DDS NPI is 1366573222. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

161 PALM AVE
SUITE 12
AUBURN, CA
ZIP 95603-718
Phone: (530) 885-0697
Fax: (530) 889-5697

The provider's authorized official is Mark D Phipps .
The authorized official title is Owner and has the following contact phone number (530) 885-0697.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/25/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice29786CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11588795249OTHERCALIFORNIAUNDEFINED PHYSICIAN (GENERAL DENTIST)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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