JEFFREY C PHILLIPS (NPI# 1003917410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003917410 |
| Entity Type | Individual |
| Full Name | JEFFREY C PHILLIPS |
| Credential | DMD |
| Practice Address |
1109 Liberty Circle S Salem OR 97306 |
| Practice Telephone | 5033638466 |
| Practice Fax Number | 5034852986 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D6697 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174872451 | Jeffrey Carl Phillips | Veterinarian | 3922 Clear Springs Rd, Mascot, TN 37806-1005 | 2012-09-02 |
| 1477837789 | Jeffrey P Phillips | Psychologist | 505 W 15th, Pleasanton, KS 66075-4095 | 2011-10-05 |
| 1295050078 | Jeffrey Michael Phillips | Pharmacist | 2182 County Line Rd, Huntingdon Valley, PA 19006-1740 | 2010-04-05 |
| 1144365966 | Jeffrey Grant Phillips | Chiropractor | 967 S Coast Highway 101, B109, Encinitas, CA 92024-4443 | 2007-02-20 |
| 1518030196 | Jeffrey Joseph Phillips | Dentist | 5605 Odana Rd, Madison, WI 53719-1207 | 2006-11-15 |
| 1770662769 | Jeffrey J Phillips | Chiropractor | 948a E. Broad St., Columbus, OH 43205 | 2006-11-02 |
| 1568572311 | Jeffrey Paul Phillips | Chiropractor | 375 W Main St, Ste D, Woodland, CA 95695 | 2006-08-30 |
| 1134136096 | Jeffrey Scott Phillips | Optometrist | 4504 Texas Blvd, Texarkana, TX 75503-3027 | 2006-08-02 |
| 1811974900 | Jeffrey Dean Phillips | Optometrist | 1903 Tyrone Blvd N, Saint Petersburg, FL 33710-4841 | 2005-12-29 |
| 1104345206 | Jeffrey M Phillips | Physical Therapist | 2906 Plantation Dr, Bossier City, LA 71111-5851 | 2017-09-11 |
| Street Address |
1109 LIBERTY CIRCLE S |
| City | SALEM |
| State | OR |
| Zip Code | 97306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
| 1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| Find all providers in zip 97306 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740670009 | Ian Bell | Dentist | 140 Ramsgate Sq S Ste 120, Salem, OR 97302-5873 | 2015-01-26 |
| 1942551791 | Roger C. Dow, Dmd PC | Dentist | 140 Ramsgate Sq Se, Suite 110, Salem, OR 97302 | 2012-09-19 |
| 1598821944 | Weston Willard Heringer Jr. | Dentist | 2020 Commercial St Se, Salem, OR 97302 | 2006-12-29 |
| 1922112333 | Roger Charles Dow | Dentist | 140 Ramsgate Sq S, Suite 110, Salem, OR 97302-5871 | 2006-08-19 |
| 1457376782 | Sean A Cooper | Dentist | 1105 12th St Se, Salem, OR 97302-2810 | 2006-07-13 |
| 1235116419 | J Chris Martin | Dentist | 1625 Commercial St Se, Salem, OR 97302-4311 | 2005-12-28 |
| 1376530535 | Stuart S Gould | Dentist | 116 Highland Ave, Salem, MA 01970-2723 | 2005-10-03 |
| 1043869191 | Acorn Dentistry for Kids - West Salem, LLC | Dentist | 1049 Edgewater St Nw, Salem, OR 97304-4046 | 2019-09-10 |
| 1598320111 | Salem Family Dental and Orthodontics PC | Dentist | 10 Federal St Ste 16, Salem, MA 01970-3875 | 2019-05-08 |
| 1841763513 | Swan Pediatric Dental | Dentist | 601 N State Road 198, Salem, UT 84653-4504 | 2019-01-06 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.