Phillips, William A

Phillips, William A is an sole proprietor health care provider with primary practice located at 1001 Dupont Sq N , Louisville KY 40207-4612. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Phillips, William A can be contacted via phone (502) 897-0625.

Contact Information

Primary practice address
1001 Dupont Sq N Louisville KY 40207-4612
Phone: (502) 897-0625
Fax: (502) 897-0627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 04017 Kentucky
Dental Providers / Dentist 122300000X 04017 Kentucky

Profile Details

NPI number 1245229202
LBN Legal business name Phillips, William A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Oct 8th, 2008 - about 17 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 1245229202 NPPES
Kentucky MEDICAID 60040177
Kentucky MEDICAID 45602125

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