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BLAKE PHILLIPS D.M.D. P.C. NPI 1881236883


NPI Information

NPI: 1881236883
Provider Name: BLAKE PHILLIPS D.M.D., P.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1112 19TH ST S
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 933-1331
Get Directions

BLAKE PHILLIPS D.M.D., P.C. is an oral and maxillofacial surgery dentist in Birmingham, AL. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BLAKE PHILLIPS D.M.D., P.C. NPI is 1881236883. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1112 19TH ST S
BIRMINGHAM, AL
ZIP 35205-814
Phone: (205) 933-1331

The provider's authorized official is Joseph Blake Phillips .
The authorized official title is Oral And Maxillofacial Surgeon and has the following contact phone number (205) 933-1332.

The enumeration date for this NPI number is 10/10/2019 and was last updated on 11/14/2019.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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: 11/14/2023

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