| NPI | 1063573582 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-12-12 |
| Last Updated | 2007-07-08 |
| Mailing Address | 3665 Hendricks Avenue Jacksonville, FL 32207 United States Phone: (904) 396-2929 | Fax: (904) 396-0503 📍 View Map |
| Primary Practice Address | 3665 Hendricks Avenue Jacksonville, FL 32207 United States Phone: (904) 396-2929 | Fax: (904) 396-0503 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 122300000X – Dentist | FL | DN12771 |
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About NPI 1063573582
Guy Lowell Phillips DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063573582. The primary specialty listed is Dentist. The provider is located in Jacksonville, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063573582?
NPI 1063573582 belongs to Guy Lowell Phillips DDS, a Dentist in Jacksonville, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063573582 active?
The current status of NPI 1063573582 in the NPPES registry is Active. The record was last updated on 2007-07-08.
What specialty is NPI 1063573582?
NPI 1063573582 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063573582?
You can verify NPI 1063573582 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063573582?
The primary practice address on file for NPI 1063573582 is 3665 Hendricks Avenue, Jacksonville, FL 32207. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063573582 issued?
NPI 1063573582 was first issued (enumerated) on 2006-12-12. The NPPES record was last updated on 2007-07-08.
Practice Location Map
Guy Lowell Phillips is located at 3665 Hendricks Avenue, Jacksonville, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Guy Lowell Phillips. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063573582. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | DN12771 | FL |