HAYDEN R. PHILLIPS


Address: 1012 Ival James Blvd, C, Richmond, KY 40475-8174
Phone: 8596269620

HAYDEN R. PHILLIPS (NPI# 1861597718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861597718
Entity Type Individual
Full Name HAYDEN R. PHILLIPS
Credential DMD
Practice Address 1012 Ival James Blvd
C
Richmond
KY 40475-8174
Practice Telephone 8596269620
Practice Fax Number 8596269622
Mailing Telephone 8596269620
Mailing Fax Number 8596269622
Enumeration Date 2006-09-14
Last Update Date 2015-04-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
7982 KY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 61901088 05
KY 61901211 05
KY BLUE CROSS/BLUE SHIELD ID 1500 01
KY 60003282 05
KY DELTA DENTAL ID# 7982 01

Other Providers HAYDEN PHILLIPS

NPI Name Taxonomy Address Enumeration
1447709878 Hayden Phillips Physician Assistant 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 2016-09-27

Office Location

Street Address 1012 IVAL JAMES BLVD
C
City RICHMOND
State KY
Zip Code 40475-8174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548676349 Linsey Lora Cornelius Dentist 1012 Ival James Blvd, Richmond, KY 40475-8174 2014-07-01
1184729873 Dentistry for Children Dentist 1012 Ival James Blvd, Suite C, Richmond, KY 40475-8174 2006-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922611300 Christina Panter Social Worker 370 Highland Drive, Ste 1a, Richmond, KY 40475 2020-08-26
1952875387 Visionary Therapy Center, LLC Speech-Language Pathologist 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 2019-01-18
1639656911 Brian Kettler Physical Therapy Assistant 2025 Corporate Dr Ste 2, Richmond, KY 40475 2018-07-19
1376063198 Erin Danielle Burt Developmental Therapist 100 Eastern Hills Drive, Richmond, KY 40475 2017-06-22
1477088730 Paul Henley Jr. Student in an Organized Health Care Education/Training Program 157 Shelby Court, Richmond, KY 40475 2017-04-25
1700310455 Center for Behavioral Health Kentucky, Inc. Clinic/Center 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 2017-04-19
1790221000 Darisha Jenkins Counselor 435 Gibson Lane, Richmond, KY 40475 2017-01-10
1992259402 Kendra Gross Counselor 451 Big Hill Ave Ste 5, Richmond, KY 40475 2016-08-12
1386095032 Shantila Nicole Wolford Case Manager/Care Coordinator 411 Gibson Lane, Richmond, KY 40475 2016-06-23
1154776540 Jessica Conley Social Worker 105 Masters Court, Richmond, KY 40475 2016-05-04
Find all providers in zip 40475

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578115275 H&a Orthodontics Dentist 16733 W Airport Blvd, Building A, Suite 2, Richmond, TX 77407 2019-07-12
1528627916 Petite Smiles Pediatric Dentistry, Pllc Dentist 11131 Harlem Rd, Suite 120, Richmond, TX 77406 2019-06-10
1144627555 David W Merrell Dds Msd Plc Dentist 12205 Gayton Road, Suite A, Richmond, VA 23238-3212 2014-12-01
1356559777 Jeffrey Lucas Bowen Dentist 120 Meridian Way, Suite 2, Richmond, KY 40475 2007-05-18
1396890927 Rhonda H. Cormney Dentist 519 Hampton Way Ste 1, Richmond, KY 40475-8885 2007-01-24
1548334071 William O Dahlke Jr. Dentist 521 N 11th St Ste 305, Richmond, VA 23298 2006-11-17
1619054939 James M Keeton Jr. Dentist 7410 Hull Street Rd, Richmond, VA 23235-5834 2006-11-01
1295825123 Jack J. Reynolds Jr. Dentist 1002 Oak Dr, Richmond, IN 47374-1916 2006-10-13
1093819013 Jeffrey Patrick Blair Dentist 12205 Gayton Rd, Richmond, VA 23238-3219 2006-09-11
1548371495 Kathryn Martinez Roberts Dentist 4025 Mechanicsville Turnpike, Richmond, VA 23223 2006-08-31
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 40475

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Dataset Information

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.

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