TRAVIS PEMELTON PHILLIPS D.M.D. NPI 1881707057

NPI Information

NPI: 1881707057
Provider Name: TRAVIS PEMELTON PHILLIPS, D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
1695 GOLDEN SPRINGS RD
ANNISTON, AL
ZIP 36207
Phone: (256) 831-1333
Get Directions

Travis Pemelton Phillips, D.M.D. is a general practice dentist in Anniston, AL. 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. Travis Pemelton Phillips, D.M.D. NPI is 1881707057. 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:

1695 GOLDEN SPRINGS RD
ANNISTON, AL
ZIP 36207-097
Phone: (256) 831-1333
Fax: (256) 831-1837

The NPI 1881707057 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 8/15/2006 and was last updated on 2/1/2013.

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	1223G0001X	Dentist	General Practice	4871	ALABAMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	971939	OTHER	ALABAMA	UNITED CONCORDIA
2	0994	MEDICARE UPIN	ALABAMA
3	51520429	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD

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

NPI Synchronization or Removal

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