Claassen, Phillip

Claassen, Phillip is an individual health care provider with primary practice located at 2805 E Grapevine Mills Cir Ste 180 , Grapevine TX 76051-1214. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Claassen, Phillip can be contacted via phone (197) 234-9632.

Contact Information

Primary practice address
2805 E Grapevine Mills Cir Ste 180 Grapevine TX 76051-1214
Phone: (197) 234-9632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 059600 New York
Dental Providers / Dentist 122300000X DN21335 Florida
Dental Providers / Dentist 122300000X 40173 Texas

Profile Details

NPI number 1205218526
LBN Legal business name Claassen, Phillip
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2015
Last updated Jun 13th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205218526 NPPES
Florida MEDICAID 017398600

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