Jeffrey Garland Phebus, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS4777 Issued in TN

Practice address

1331 N Germantown Pkwy
Cordova, TN 38016-5980

Phone

(901) 755-6601

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083762488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6673 VALLENDAR CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381359119",
            "telephone_number": "901-377-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N GERMANTOWN PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165980",
            "telephone_number": "901-755-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHEBUS",
        "first_name": "JEFFREY",
        "middle_name": "GARLAND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Perry
• Steward Antonio Perry
• Delaney Peters
• Madison D Pettigrew, MSN, APN, PMHNP-BC
• Thang Pham, PHARM. D
• Tonya Phelps, PHARMD
• Physioone Physical Therapy, PLLC
• Barbara Pickett
• Sara Pieh, AU.D.
• Shannon Piercey, MA, CCC-SLP

• General Practice Dentistry in Cordova, TN
• Providers in Cordova, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.