DANIEL JOSEPH PHILLIPS (NPI# 1407249410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407249410 |
| Entity Type | Individual |
| Full Name | DANIEL JOSEPH PHILLIPS |
| Practice Address |
Usa Dental Health Activity 7061 Lincoln Ave, Bldg 972 Ft Benning GA 31905 |
| Mailing Address |
Bldg 38801 Academic Dr Suite B&c Usa Dentac Attn: Credentials Ft Gordon GA 30905-5660 |
| Practice Telephone | 7065443103 |
| Mailing Telephone | 7067876927 |
| Mailing Fax Number | 7067872082 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS039957 | PA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS039957 | PA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS039957 | PA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1532 Ridge Creek Way, Columbus, GA 319041363 | 7142062575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043734577 | Daniel Barratt Phillips | Counselor | 3625 Harrison Blvd, Ogden, UT 84403-2061 | 2017-07-26 |
| 1174793210 | Daniel J. Phillips | Massage Therapist | 214 Ana Dr, Suite L, Florence, AL 35630-1748 | 2008-03-05 |
| 1407989437 | Daniel E Phillips | Dentist | 4001 E Henrietta Rd, Henrietta, NY 14467-9780 | 2007-03-13 |
| 1801857784 | Daniel S Phillips | Dentist | 18325 Sw Alexander St, Aloha, OR 97006-3958 | 2006-03-30 |
| 1750357331 | Daniel Phillips | Speech-Language Pathologist | The Kirklin Clinic Ent Otolaryngology Clinic, 6th Ave So, Birmingham, AL 35294-0012 | 2006-02-24 |
| 1144292087 | Daniel E Phillips | Emergency Medicine | 2816 Brookside Dr, Iowa City, IA 52245-5409 | 2006-02-04 |
| 1144220310 | Daniel Lee Phillips | Orthopaedic Surgery | 8 City Blvd, Suite 300, Nashville, TN 37209-2543 | 2005-07-28 |
| 1477557817 | Daniel Phillips | Optometrist | 13330 Eureka Rd, Southgate, MI 48195-1310 | 2005-06-13 |
| 1679068662 | Daniel Phillips | Surgery | 301 University Blvd, Galveston, TX 77555-5302 | 2018-06-22 |
| 1023568789 | Daniel M. Phillips IIi | Psychologist | 22762 Westheimer Pkwy, Suite 570, Katy, TX 77450-8825 | 2016-10-06 |
| Street Address |
USA DENTAL HEALTH ACTIVITY 7061 LINCOLN AVE, BLDG 972 |
| City | FT BENNING |
| State | GA |
| Zip Code | 31905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420146 | Scott Hansen Lowry | Dentist | 1430 John Wesley Drive, Augusta, GA 30912-0001 | 2020-02-25 |
| 1780233981 | North Point Periodontics Center LLC | Dentist | 4205 N Point Pkwy Ste A, Alpharetta, GA 30022-8808 | 2019-09-10 |
| 1972012961 | Newnan Periodontics LLC | Dentist | 1635 Highway 34 E Ste A, Newnan, GA 30265-2173 | 2017-09-22 |
| 1871948695 | Kyle Garrett | Dentist | 2704 W Terrace Dr, Augusta, GA 30909-3622 | 2016-04-29 |
| 1346601291 | Titanium Dental | Dentist | 3796 Satellite Blvd Ste 101, Duluth, GA 30096-5698 | 2016-03-18 |
| 1073972584 | Kara Kramer | Dentist | 2970 Peachtree Rd Nw Ste 622, Atlanta, GA 30305-2115 | 2016-02-12 |
| 1922491356 | John H Eaton | Dentist | 1776 Old Spring House Ln Ste 301, Dunwoody, GA 30338-6225 | 2015-03-10 |
| 1679977656 | M Forest Butler Dds Ms PC | Dentist | 320 Killian Hill Rd Nw, Lilburn, GA 30047-3809 | 2014-10-20 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| 1699104927 | Nisha Maniar Kancherla | Dentist | 300 W Wieuca Rd Ne Suite 100, Atlanta, GA 30342-9701 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
| City | FT BENNING |
| Zip Code | 31905 |
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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.