Dr. John S Phillips
Dentist - General Practice
535 E Division St
Fond du Lac
, Wisconsin 54935-3735
Dr. John S Phillips
Dentist - General Practice
535 E Division St
Fond du Lac
, Wisconsin 54935-3735
(920) 921-0577
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. John S Phillips
- 535 E Division St
- Fond Du Lac, WI
- Zip : 54935-3735
- Fax : (920) 921-0577
- Phone : (920) 921-8950
Second Address
- Dr. John S Phillips
- 535 E Division St
- Fond Du Lac, WI
- Zip : 54935-3735
- Fax : (920) 921-0577
- Phone : (920) 921-8950
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FAQs
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Is Dr. John S Phillips a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 01830 | WI |
| Y | 213EG0000X | General Practice | 01830 | WI |
National Provider Identifier
| NPI | 1003839762 |
|---|---|
| Provider Name | Dr. John S Phillips |
| First Address | Fond Du Lac, WI 54935-3735 |
| Second Address | Fond Du Lac, WI 54935-3735 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 391790260015 | BLUE CROSS/BLUE SHIELD ID (01) | WI |
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.