KEITH PHILLIPS DMD MSD PS INC NPI 1497091243

NPI Information

NPI: 1497091243
Provider Name: KEITH PHILLIPS, DMD, MSD, PS, INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5619 VALLEY AVE E
FIFE, WA
ZIP 98424
Phone: (253) 922-5519
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KEITH PHILLIPS, DMD, MSD, PS, INC is a dental clinic center in Fife, WA. KEITH PHILLIPS, DMD, MSD, PS, INC NPI is 1497091243. The provider is registered as an organization entity type.

The provider's business location address is:

5619 VALLEY AVE E
FIFE, WA
ZIP 98424-060
Phone: (253) 922-5519
Fax: (253) 922-2719

The provider's authorized official is Keith Martin Phillips .
The authorized official title is Owner and has the following contact phone number (253) 922-5519.

The enumeration date for this NPI number is 12/26/2012 and was last updated on 12/26/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DE00007693	WASHINGTON	Yes

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: 5/5/2024

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