Phillips and Rust DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PHILLIPS AND RUST DDS LLC

Practice address

649 Briarcliff Ave
Oak Ridge, TN 37830-8799

Phone

(865) 483-7851

Fax

(865) 483-6391

NPI assigned

Jan 4, 2019

Last updated

Apr 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Jeffrey Phillips, DDSNPI 1194792051

Title

Dentist

Phone

(865) 483-7851

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Jeffrey Phillips, DDS

  • General Practice Dentistry
  • Oak Ridge, TN
  • NPI 1194792051
  NPD Authorized official

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1962975755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 BRIARCLIFF AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308799",
            "telephone_number": "865-483-7851",
            "fax_number": "865-483-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 BRIARCLIFF AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308799",
            "telephone_number": "865-483-7851",
            "fax_number": "865-483-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS AND RUST DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "865-483-7851",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Christian Petersen, D.O.
• Olivia Peterson, N.P.
• Barbara Beck Pettigrew, FNP-BC
• Charles G Pettigrew Jr., CRNA
• Ginger Megan Pettitt, PTA
• Ciera Phillips, RN
• James E Phillips, M.D.
• Morgan Phillips, RN
• Paul Jeffrey Phillips, DDS
• Physicians Diagnostic Services

• General Practice Dentistry in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.