DR. JOHN S PHILLIPS D.D.S. NPI 1003839762

NPI Information

  • NPI: 1003839762
  • Provider Name: DR. JOHN S PHILLIPS, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 535 E DIVISION ST
    FOND DU LAC, WI
    ZIP 54935
  • Phone: (920) 921-8950

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NPI Details

DR. John S Phillips, D.D.S. is a general practice dentist in Fond Du Lac, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. John S Phillips, D.D.S. NPI is 1003839762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

535 E DIVISION ST
FOND DU LAC, WI
ZIP 54935-735
Phone: (920) 921-8950
Fax: (920) 921-0577

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice01830WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1391790260015OTHERWISCONSINBLUE CROSS/BLUE SHIELD ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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