Donald Phillips Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

DONALD PHILLIPS ORAL SURGERY

Practice address

2295 Parklake Dr NE Ste 240
Atlanta, GA 30345-2863

Phone

(770) 723-9965

Fax

(770) 723-9344

NPI assigned

Apr 11, 2024

Last updated

Apr 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin Leary

Title

Practice Manager

Phone

(770) 723-9965

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Marvin Phillips Jr., DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Atlanta, GA
  • NPI 1174509319
  NPD
• Thomas E Osborne, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Atlanta, GA
  • NPI 1366450371
  NPD (past)

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1427801042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE STE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452863",
            "telephone_number": "770-723-9965",
            "fax_number": "770-723-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE STE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452863",
            "telephone_number": "770-723-9965",
            "fax_number": "770-723-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD PHILLIPS ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-723-9965"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominion Orthopaedic Clinic, LLC
• Dominion Partners Home Care of Atlanta LLC (ComForCare Home Care)
• Lindsey Dominique, RBT
• Don'T Go to Prison Initiative
• Nicole Ann Donahue, PA
• Donald R. Rozema DDS, PC
• Christen Donald, BCBA
• Elizabeth Harris Donald, AGACNP-BC
• Danielle Donaldson
• Emily Elizabeth Donaldson

• Oral and Maxillofacial Surgery Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.