Phillips Dentistry, PS.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PHILLIPS DENTISTRY, PS.

Doing business as

Distinctive Dentistry

Practice address

5615 Valley Ave E
Tacoma, WA 98424-2060

Phone

(253) 922-6822

Fax

(253) 922-3513

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Keith Martin Phillips, D.M.D., M.S.D.

Title

Owner

Phone

(253) 922-6822

Specialties & licenses 2

Addresses

Other names 1

• Distinctive Dentistry Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abbie D Hage, DDS

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1235148008
  NPD (past)
• Glorianne D Walker, DMD PLLC

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1679646335
  NPD (past)

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1396026209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 VALLEY AVE E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242060",
            "telephone_number": "253-922-6822",
            "fax_number": "253-922-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 VALLEY AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984242060",
            "telephone_number": "253-922-6822",
            "fax_number": "253-922-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS DENTISTRY, PS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-922-6822",
        "authorized_official_credential": "D.M.D., M.S.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distinctive Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phenomenal You Psychiatry & Coaching PLLC
• Caroline Kinnear Philbrick, CTRS
• Lisa M Philichi, ARNP
• Philip R. Yearian DPM PS
• Phill-Wright LLC
• Judy Phillips
• Katherine Phillips, MN, RN
• Keith Martin Phillips, D.M.D., M.S.D.
• Lance Edward Phillips
• Linus G Phillips

• Dental Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.