Dr. Bradley L Phillips
Periodontist
2018 Rock Spring Rd
Forest Hill
, Maryland 21050-2631
Dr. Bradley L Phillips
Periodontist
2018 Rock Spring Rd
Forest Hill
, Maryland 21050-2631
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Bradley L Phillips
- 15927 York Rd
- Sparks, MD
- Zip : 21152-9343
- Phone :
Second Address
- Dr. Bradley L Phillips
- 2018 Rock Spring Rd
- Forest Hill, MD
- Zip : 21050-2631
- Fax : (410) 893-0112
- Phone : (410) 879-4444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 8121 | MD |
National Provider Identifier
| NPI | 1053434498 |
|---|---|
| Provider Name | Dr. Bradley L Phillips |
| First Address | Sparks, MD 21152-9343 |
| Second Address | Forest Hill, MD 21050-2631 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.