Dawn M Phillips, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI19995 Issued in NJ

Practice address

209 White Horse Pike
Haddon Heights, NJ 08035-1703

Phone

(856) 546-0665

Fax

(856) 546-2993

NPI assigned

Apr 18, 2007

Sex

Female

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

Medicare enrollment (NPD)

Not 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.

• Haddon Heights LV Dental, LLC

  • General Practice Dentistry
  • Haddon Heights, NJ
  • NPI 1255114468
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790901650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 STONE POST CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155725",
            "telephone_number": "856-546-0665",
            "fax_number": "856-546-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351703",
            "telephone_number": "856-546-0665",
            "fax_number": "856-546-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DAWN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI19995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra J Peasley, CNS
• Raymond Pekala, M.D.
• Perfecting Peds
• Annie M Peter, MD
• Thomas Kirk Philippi, PHYSICAL THERAPIST
• Michael Joseph Piazza, D.O.
• Jamie Piliero
• Lynda Plank, MSN, APN-C
• Kelsey Pomeroy, PA
• Walter Poprycz, MD

• General Practice Dentistry in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.