BLAKE PHILLIPS D.M.D., P.C. (NPI# 1881236883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881236883 |
| Entity Type | Organization |
| Organization Name | BLAKE PHILLIPS D.M.D., P.C. |
| Practice Address |
1112 19th St S Birmingham AL 35205-4814 |
| Practice Telephone | 2059331331 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | JOSEPH BLAKE PHILLIPS (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Telephone | 2059331332 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
1112 19TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982719639 | William Pettus Buck Jr. | Dentist | 1112 19th St S, Birmingham, AL 35205-4814 | 2006-08-21 |
| 1598183204 | Joseph Blake Phillips | Dentist | 1112 19th St S, Birmingham, AL 35205 | 2014-03-31 |
| 1871862763 | Henry E. Mckay, IIi, Dds, PC | Dentist | 1112 19th St S, Birmingham, AL 35205-4814 | 2011-12-21 |
| 1912276833 | William P. Buck, Jr., Dmd, PC | Dentist | 1112 19th St S, Birmingham, AL 35205-4814 | 2011-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710196506 | Lisa Miller | Dentist | 1 Inverness Center Pkwy Ste 200, Birmingham, AL 35242-4865 | 2007-05-21 |
| 1063506533 | Harold Newton Burton | Dentist | 1771 Independence Court, Suite 2, Birmingham, AL 35216 | 2006-10-02 |
| 1982719639 | William Pettus Buck Jr. | Dentist | 1112 19th St S, Birmingham, AL 35205-4814 | 2006-08-21 |
| 1578677233 | Christopher Michael Rothman | Dentist | 2290 Valleydale Road, Suite 100, Birmingham, AL 35244-2011 | 2006-08-19 |
| 1669441333 | Dennis Dale Carr | Dentist | 101 Heatherbrooke Park Dr, Birmingham, AL 35242-8008 | 2006-03-16 |
| 1497739494 | Jon D Holmes | Dentist | 1500 19th St S, Suite 200, Birmingham, AL 35205-5628 | 2005-12-02 |
| 1811979719 | Jonathon Henning Anderson | Dentist | 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009-6618 | 2005-11-16 |
| 1003378274 | Ryan Chase Seeley | Dentist | 1919 7th Ave S, Birmingham, AL 35233-2005 | 2019-04-04 |
| 1598255044 | Birmingham Oral & Maxillofacial Surgery, Plc | Dentist | 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009 | 2018-05-10 |
| 1447643523 | Shelby Oral Facial Surgery | Dentist | 1 Inverness Center Pkwy, Suite 200, Birmingham, AL 35242-4817 | 2015-03-12 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
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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.