Jeffrey William Phillips, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00004243 Issued in WA

Practice address

3637 NW Byron St
Silverdale, WA 98383-9127

Phone

(360) 692-9560

Fax

(360) 692-1729

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 9, 2020 through Oct 9, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790886141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 NW BYRON ST",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839127",
            "telephone_number": "360-692-9560",
            "fax_number": "360-692-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 NW BYRON ST",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839127",
            "telephone_number": "360-692-9560",
            "fax_number": "360-692-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00004243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Peterson, LMT
• Ingela Pezzolesi, M.D.
• Aubrey Pflugrad
• Phillips & Niemeyer, D.D.S., P.L.L.C
• Allison Alicia Phillips, LMT
• Physioworks Silverdale PLLC
• John Eugene Picard, OD
• Alison Pickens
• Lorie A Plaisance, DC
• Hannah Christine Plueger, A.R.N.P

• General Practice Dentistry in Silverdale, WA
• Providers in Silverdale, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.