DR. JAMES DAVIDSON PHILBRICK, D.M.D.,F.A.G.D. - NPI NUMBER 1730109794

Summary

Provider Name: DR. JAMES DAVIDSON PHILBRICK, D.M.D.,F.A.G.D.

NPI Number: 1730109794

Clasification: Dentist (122300000X)

Address:
8449 US HIGHWAY 42
SUITE K
FLORENCE, KY
ZIP 41042

Phone Number: (859) 372-6300



Detailed Information

DR. James Davidson Philbrick, D.M.D.,F.A.G.D. is a dentist in Florence, KY. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. The assigned NPI number for this provider is 1730109794 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

8449 US HIGHWAY 42
SUITE K
FLORENCE, KY
ZIP 41042-352
Phone: (859) 372-6300
Fax: (859) 372-6305

The enumeration date for this NPI number is 7/20/2006 and was last updated on 7/10/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 122300000X Dentist 4855 KY No
2 1223G0001X Dentist General Practice 4855 KY Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 4855 OTHER KY STATE LICENSE
2 56-1660291 OTHER KY TAX I.D.
3 60048550 MEDICAID KY

NPI Record

No. Field Name Field Value
1 NPI 1730109794
2 Entity Type Code 1
3 Provider Last Name Legal Name PHILBRICK
4 Provider First Name JAMES
5 Provider Middle Name DAVIDSON
6 Provider Name Prefix Text DR.
7 Provider Name Suffix Text JR.
8 Provider Credential Text D.M.D.,F.A.G.D.
9 Provider First Line Business Practice Location Address 8449 US HIGHWAY 42
10 Provider Second Line Business Practice Location Address SUITE K
11 Provider Business Practice Location Address City Name FLORENCE
12 Provider Business Practice Location Address State Name KY
13 Provider Business Practice Location Address Postal Code 410428352
14 Provider Business Practice Location Address Country Code If outside U S US
15 Provider Business Practice Location Address Telephone Number 8593726300
16 Provider Business Practice Location Address Fax Number 8593726305
17 Provider Enumeration Date 7/20/2006
18 Last Update Date 7/10/2014
19 Provider Gender Code M
20 Healthcare Provider Taxonomy Code 1 122300000X
21 Provider License Number 1 4855
22 Provider License Number State Code 1 KY
23 Healthcare Provider Primary Taxonomy Switch 1 N
24 Healthcare Provider Taxonomy Code 2 1223G0001X
25 Provider License Number 2 4855
26 Provider License Number State Code 2 KY
27 Healthcare Provider Primary Taxonomy Switch 2 Y
28 Other Provider Identifier 1 4855
29 Other Provider Identifier Type Code 1 01
30 Other Provider Identifier State 1 KY
31 Other Provider Identifier Issuer 1 STATE LICENSE
32 Other Provider Identifier 2 56-1660291
33 Other Provider Identifier Type Code 2 01
34 Other Provider Identifier State 2 KY
35 Other Provider Identifier Issuer 2 TAX I.D.
36 Other Provider Identifier 3 60048550
37 Other Provider Identifier Type Code 3 05
38 Other Provider Identifier State 3 KY
39 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.