Carlyn S Phucas, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DI15540 Issued in NJ

Practice address

36 W Route 70 Marlton Greene Plaza
Suite 212
Marlton, NJ 08053-3024

Phone

(856) 985-9400

Fax

(856) 985-3412

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891849394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARLTON GREENE PLAZA",
            "address_2": "36 W ROUTE 70 SUITE 212",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533024",
            "telephone_number": "856-985-9400",
            "fax_number": "856-985-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W ROUTE 70 MARLTON GREENE PLAZA",
            "address_2": "SUITE 212",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533024",
            "telephone_number": "856-985-9400",
            "fax_number": "856-985-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUCAS",
        "first_name": "CARLYN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI15540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Adele Phillips-Taylor, L.C.S.W.
• Bonnie Lynn Phillips, M.P.T
• Marie Phillips, LPC
• Stephanie Phillips, PA-C
• Steven Phillips, M.S.
• Physicians Billing and Collections Inc
• Physicians Marketing and Consulting LLC
• Andre M Pierre, MD
• Rebecca J Pinchoff, M.D.
• Pinnacle Behavioral Health Institute

• Orthodontics and Dentofacial Orthopedics Dentistry in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Orthodontics and Dentofacial Orthopedics 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.