William a. Phillips DMD, PSC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4017 Issued in KY

Legal business name

WILLIAM A. PHILLIPS DMD, PSC

Doing business as

Dupont Pediatric Dentistry

Practice address

1001 Dupont Square N
Louisville, KY 40207-4612

Phone

(502) 897-0625

Fax

(502) 897-0627

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy Kennedy

Title

Office Mangaer

Phone

(502) 897-0625

Specialties & licenses 1

Addresses

Other names 1

• Dupont Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1962773721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DUPONT SQUARE N",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074612",
            "telephone_number": "502-897-0625",
            "fax_number": "502-897-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DUPONT SQUARE N",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074612",
            "telephone_number": "502-897-0625",
            "fax_number": "502-897-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. PHILLIPS DMD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANGAER",
        "authorized_official_telephone_number": "502-897-0625",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "4017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dupont Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kari Lynn Willett, MA APA, BEHAVIOR SPC
• Olga A Willett, MD
• Renee Summers Willett, RPH
• Caroline S Willette, M.D.
• David Emory Willey, D.M.D.
• William D Newman DMD PLLC (Newman Family Dentistry)
• William E Moss PSC
• William H Haney MD PLLC Ultimate MD (Ultimate MD)
• William P Owen MD PSC
• William P Williamson MD LLC

• Dental Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.