Robert C Phillilps Jr DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3390 Issued in NC

Legal business name

ROBERT C PHILLILPS JR DDS PA

Practice address

526 Main Street
Pineville, NC 28134

Phone

(704) 889-7525

Fax

(704) 889-7528

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Robert Phillips Jr., DDSNPI 1720064678

Title

President

Phone

(704) 889-7525

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Robert C Phillips Jr., DDS

  • Dentist
  • Pineville, NC
  • NPI 1720064678
  NPD (past) Authorized official
• Jackie Nhung Le

  • Dentist
  • Charlotte, NC
  • NPI 1942059092
  NPD (past)
• Stacey Lemmons Norris, D.M.D

  • Dentist
  • Pineville, NC
  • NPI 1295999761
  NPD (past)

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1467610865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281340686",
            "telephone_number": "704-889-7525",
            "fax_number": "704-889-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 MAIN STREET",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "28134",
            "telephone_number": "704-889-7525",
            "fax_number": "704-889-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C PHILLILPS JR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-889-7525",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996868",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca N. Triplett, PLLC (Trident Smile Studio)
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• Alisha S Richmond, PHD CCC-SLP
• Ride With Abc
• Adia Roberts Mosely
• Keyona Dion Terry Robertson, MED, CCC-SLP
• Destiny Robinette
• Rose of Sharon Covenant Ministries (Covenant Home Health)
• Carlie Roseman, RD, LDN

• General Practice Dentistry in Pineville, NC
• Providers in Pineville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.