William Ralph Phillips III, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

L7848 Issued in TX

Practice address

6140 Sherry LN
Dallas, TX 75225-6301

Phone

(214) 363-2475

Fax

(214) 528-5510

NPI assigned

Jul 8, 2005

Reactivated

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 23, 2013 through Sep 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Park Cities Oral Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
  • NPI 1679469217
  NPD Authorized official

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1225036759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256301",
            "telephone_number": "214-363-2475",
            "fax_number": "214-528-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256301",
            "telephone_number": "214-363-2475",
            "fax_number": "214-528-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "WILLIAM",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "deactivation_date": "2006-04-28",
        "reactivation_date": "2006-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "L7848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Denise Phillips, CRNA
• Tiffany S Phillips
• Timothy Ray Phillips
• Todd Michael Phillips, M.D.
• Valerie Joy Phillips, CNM
• Courtney Janae Philpot, PA-C
• Tamara Lynn Philpott, CCNP
• Kia Phinney
• Rebeccah Leeann Phipps, PT
• Dang Pho, DMD

• Oral & Maxillofacial Surgery (D.M.D.) in Dallas, TX
• Providers in Dallas, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.