Ryan Phillips, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8276 Issued in SC

Practice address

102 Bryant St
Saint George, SC 29477-2160

Phone

(843) 563-3208

Fax

(843) 563-7800

NPI assigned

Nov 19, 2013

Last updated

Nov 19, 2013By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Holly Hill Dental Care

  • General Practice Dentistry
  • Holly Hill, SC
  • NPI 1437703964
  NPD (past)
• St. George Dental Care

  • General Practice Dentistry
  • Saint George, SC
  • NPI 1790953602
  NPD (past)

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1356771927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BRYANT ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772160",
            "telephone_number": "843-563-3208",
            "fax_number": "843-563-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BRYANT ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772160",
            "telephone_number": "843-563-3208",
            "fax_number": "843-563-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RYAN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Michelle Orosz, PHARMD
• Nathan Henry Page, DC
• Palmetto Primary Care Physicians, LLC (St. George Family Practice)
• Palmetto St. George Operating LLC (St. George Healthcare Center)
• Erin Peters, RN
• Restore Health LLC
• Roxanne Robes, PTA
• Kelsey Sanders, PTA
• Halie Seagrist, DMD
• Amy L Sherman

• General Practice Dentistry in Saint George, SC
• Providers in Saint George, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.