Phillabaum, Megan

Phillabaum, Megan is an individual health care provider with primary practice located at 1401 Madison Ave , Covington KY 41011-3313. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Phillabaum, Megan can be contacted via phone (859) 655-6100.

Contact Information

Primary practice address
1401 Madison Ave Covington KY 41011-3313
Phone: (859) 655-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10779 Kentucky

Profile Details

NPI number 1356070965
LBN Legal business name Phillabaum, Megan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2022
Last updated Jul 26th, 2022 - about 3 years 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 1356070965 NPPES
Kentucky Other 10779 KY LICENSE

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