DR. CORNELIA ANN MOORE PHILLIS (NPI# 1942395538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942395538 |
| Entity Type | Individual |
| Full Name | DR. CORNELIA ANN MOORE PHILLIS |
| Credential | DDS |
| Practice Address |
2329 S Ww White Rd San Antonio TX 78222-1936 |
| Practice Telephone | 2106482451 |
| Practice Fax Number | 2106484140 |
| Mailing Telephone | 2106482451 |
| Mailing Fax Number | 2106484140 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
18776 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 159776701 | 05 |
| Street Address |
2329 S WW WHITE RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78222-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942439591 | Alamo Smiles Dentistry, Pllc | Dentist | 2329 S Ww White Rd, San Antonio, TX 78222-1936 | 2009-07-03 |
| 1760628010 | Dan Marcuse | Dentist | 2329 S Ww White Rd, San Antonio, TX 78222-1936 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1801045257 | Perly Lee Sheffield | Case Manager/Care Coordinator | 5518 Elk Hunter Tr., San Antonio, TX 78222 | 2008-09-10 |
| 1689822447 | James Edward Williams | Family Medicine | 3859 E Southcross Blvd Ste C, San Antonio, TX 78222 | 2008-09-05 |
| 1508025693 | Southcross Surgical Center, LLC | Clinic/Center | 4025 E. Southcross, Bldg 3 Ste. 15, San Antonio, TX 78222 | 2008-06-04 |
| 1184839235 | Michael C Key | Dentist | 3875 E Southcross, Ste F, San Antonio, TX 78222 | 2007-05-11 |
| 1245359017 | Celia S Faz | Home Health Aide | 5511 Firestar Trail, San Antonio, TX 78222 | 2007-03-29 |
| 1730272501 | Best Fit Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 3859 E Southcross, Ste H, San Antonio, TX 78222 | 2006-10-02 |
| 1326150806 | Angela E Adams | Nurse Practitioner | 4243 E Southcross Blvd Ste 204, San Antonio, TX 78222 | 2006-08-31 |
| 1063435105 | Mark David Mutschink | Physical Therapist | 3875 E Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-07-26 |
| 1548210636 | Cameron Brent Elam | Physical Therapist | 3875 East Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-05-11 |
| Find all providers in zip 78222 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452354 | Cesar Oscar Gonzalez | Dentist | 20122 Stone Oak Pkwy Ste 101, San Antonio, TX 78258-7041 | 2020-09-16 |
| 1760093397 | Grace Jie Zhang | Dentist | 11535 West Ave # A, San Antonio, TX 78213-1343 | 2020-08-17 |
| 1104436831 | Tian Meng | Dentist | 8110 W Loop 1604 N, San Antonio, TX 78254-2104 | 2020-08-07 |
| 1780217976 | Tovar Dental, Pllc | Dentist | 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 | 2020-02-17 |
| 1972133767 | Evodent Dental Pllc | Dentist | 18838 Stone Oak Pkwy Ste 102, San Antonio, TX 78258-4179 | 2020-01-21 |
| 1659901502 | Dental Care of San Antonio, Pllc | Dentist | 115 N Loop 1604 E Ste 1104, San Antonio, TX 78232-1399 | 2020-01-20 |
| 1437792041 | Precision Smile Structure Culebra Pllc | Dentist | 6626 W Loop 1604 N Ste 216, San Antonio, TX 78254-6602 | 2019-10-26 |
| 1013558998 | Great White Dental Pllc | Dentist | 238 Sw Military Dr Ste 104, San Antonio, TX 78221-1657 | 2019-10-02 |
| 1376192443 | Deborah R. Keepers Dds Pa | Dentist | 11309 Bandera Rd Ste 101, San Antonio, TX 78250-2602 | 2019-09-10 |
| 1487202750 | Western Dental Care | Dentist | 2347 Nw Military Hwy Ste 101, San Antonio, TX 78231-2502 | 2019-08-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78222 |
Please comment or provide details below to improve the information on DR. CORNELIA ANN MOORE PHILLIS.
| 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.