Dr. Keith Martin Phillips
Prosthodontist
5619 Valley Ave E
Tacoma
, Washington 98424-2060
Dr. Keith Martin Phillips
Prosthodontist
5619 Valley Ave E
Tacoma
, Washington 98424-2060
(253) 922-5519
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Keith Martin Phillips
- 5619 Valley Ave E
- Tacoma, WA
- Zip : 98424-2060
- Phone : (253) 922-5519
Second Address
- Dr. Keith Martin Phillips
- 5619 Valley Ave E
- Tacoma, WA
- Zip : 98424-2060
- Phone : (253) 922-5519
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 602396104 | WA |
National Provider Identifier
| NPI | 1063638310 |
|---|---|
| Provider Name | Dr. Keith Martin Phillips |
| First Address | Tacoma, WA 98424-2060 |
| Second Address | Tacoma, WA 98424-2060 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2007 |
| Last Update Date | 19/11/2015 |
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.