Organization Active NPI

Phillips Dental Sleep Solutions LLC

  • Dentist
  • Wyckoff, NJ
National Provider Identifier
1629629316
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PHILLIPS DENTAL SLEEP SOLUTIONS LLC
Practice address
235 Madison Ave
Wyckoff, NJ 07481-1948
Phone
(201) 891-5154
NPI assigned
Sep 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Dr. Glenn Phillips, DMDNPI 1225160195
Title
Authorized Official
Phone
(201) 891-5154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

235 Madison Ave
Wyckoff, NJ 07481-1948

Mailing address

235 Madison Ave
Wyckoff, NJ 07481-1948

National Provider Directory

National Provider Directory

Locations

235 Madison Ave
Wyckoff, NJ 07481
Phone (201) 891-5154

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1629629316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MADISON AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MADISON AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811948",
            "telephone_number": "201-891-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS DENTAL SLEEP SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "201-891-5154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.