Amy Phillips, RDH
Individual provider Active NPI Dental Hygienist · Pilot Knob, MO
NPI 1437640240 · NPPES record last updated May 29, 2018
Key facts
- NPI
- 1437640240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2013038766 (MO)
- Practice address
- 315 W. Mulberry
Suite B
Pilot Knob, MO 63663 - Phone
- (573) 546-1001
- Fax
- (573) 546-1002
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013038766 | MO | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2013038766 | MO | Yes |
Addresses
Primary practice location
315 W. Mulberry
Suite B
Pilot Knob, MO 63663
Mailing address
PO Box 19214
Belfast, ME 04915-4087
Phone (573) 663-2313
Other providers in Pilot Knob, MO
- Judith Medley
- Johnny Franklin Miller
- Jessica Dawn Nichols
- Ozark Valleys Community Services, Inc.
- Ian Pelletier
- Brittany Queen
- Tasha Rosenquist
- Jennifer J Savage
- Shepherd Mountain Emergency Physicians
- Phillip Starnes
All providers in Pilot Knob, MO · Dental Hygienist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.