Phillips, Darryl Edward

Phillips, Darryl Edward is an sole proprietor health care provider with primary practice located at 323 Fox Rd Suite 100, Knoxville TN 37922-3383. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Phillips, Darryl Edward can be contacted via phone (865) 357-5560.

Contact Information

Primary practice address
323 Fox Rd Suite 100 Knoxville TN 37922-3383
Phone: (865) 357-5560
Fax: (865) 357-5562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8478 Tennessee

Profile Details

NPI number 1497825376
LBN Legal business name Phillips, Darryl Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1497825376 NPPES
Tennessee Other 169787 TENN CARE PAYEE ID
Tennessee Other 9183560 TENN CARE PAYEE ID

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