Brianna L Phillips, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4382 Issued in AR

Practice address

1607 E Rainforest Rd
Fayetteville, AR 72703-5385

Phone

(479) 582-0600

Fax

(417) 845-0094

NPI assigned

Jun 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brianna L Davidson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sanders, Tompkins, Schiro, Landers and Sanders PLLC

  • Pediatric Dentistry
  • Fayetteville, AR
  • NPI 1154401057
  NPD (past)
• Triplett,Sanders,Tompkins, Smith & Landers #2 PLLC

  • Pediatric Dentistry
  • Bentonville, AR
  • NPI 1871951525

  Dentist

  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1760041248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 SW HAZELNUT AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72713",
            "telephone_number": "417-438-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E RAINFOREST RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035385",
            "telephone_number": "479-582-0600",
            "fax_number": "417-845-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRIANNA",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2019019148",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "DAVIDSON",
            "middle_name": "L",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David P Petros, M.D.
• Keeli Holden Pfeiffer, LCSW
• Hanh Kieu Pham, RPH
• Madeline Phan
• Haley A Phelan, APRN
• Carol Ann Phillips, M.D.
• Stacey Michele Phillips, MS, PT
• Tara Phillips
• Ryan Philobos, CGC
• Physician Comp RX, LLC

• General Practice Dentistry in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.