MICHELLE PHILLIPS (NPI# 1639607328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639607328 |
| Entity Type | Individual |
| Full Name | MICHELLE PHILLIPS |
| Credential | DDS |
| Practice Address |
1106 Broadnax St Daingerfield TX 75638-1030 |
| Mailing Address |
6041 Devoe Rd Camillus NY 13031-8667 |
| Practice Telephone | 9036457335 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
35831 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
059944 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 Prospect Ave, Syracuse, NY 132031807 | 3154485536 | |
| 8875 Porter Rd, Niagara Falls, NY 14304 | 7162975500 | |
| 645 W Genesee Street Rd, Skaneateles, NY 13152 | 3156857162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356717177 | Michelle Phillips | Licensed Practical Nurse | 21219 Kenyon Dr, Maple Heights, OH 44137-2450 | 2015-08-16 |
| 1790022820 | Michelle Marie Phillips | Counselor | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2013-01-09 |
| 1063722585 | Michelle Evans Phillips | Nurse Practitioner | 116 Shirley Ln, Boiling Springs, PA 17007-9593 | 2010-10-18 |
| 1437328978 | Michelle Archer Phillips | Marriage & Family Therapist | 333 Fairhaven Ct, Newbury Park, CA 91320-5021 | 2008-02-28 |
| 1134313018 | Michelle Ann Phillips | Dietitian, Registered | 222 Pone Ln, Franklin, PA 16323-3542 | 2007-09-04 |
| 1376696948 | Michelle Marie Phillips | Physical Therapist | 1521 E Costilla Ave, Centennial, CO 80122-1381 | 2007-01-18 |
| 1891876108 | Michelle V. Phillips | Dentist | 3 Eaglet Ct, Pleasanton, CA 94566-6974 | 2006-10-17 |
| 1518519511 | Michelle R Phillips | Nurse Practitioner | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2019-07-10 |
| 1376007427 | Michelle Phillips | Nurse Practitioner | 211 Crawford Memorial Dr, Van Buren, AR 72956-5322 | 2019-01-23 |
| 1265930259 | Michelle Phillips | Counselor | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2018-01-25 |
| Street Address |
1106 BROADNAX ST |
| City | DAINGERFIELD |
| State | TX |
| Zip Code | 75638-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194813576 | Danny Lilley | Dentist | 1106 Broadnax St, Daingerfield, TX 75638-1030 | 2006-10-10 |
| 1013454404 | Trey Latiolais Dds Pllc | Dentist | 1106 Broadnax St, Daingerfield, TX 75638-1030 | 2017-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912156100 | Trey Matthew Latiolais | Dentist | 1106 Broadnax Street, Daingerfield, TX 75638 | 2008-09-12 |
| 1447255278 | Ronald Dickinson | Physician Assistant | 213 A Scurry Ave, Daingerfield, TX 75638 | 2005-06-17 |
| 1245771245 | Morgan Frost | Speech-Language Pathologist | 507 E W M Watson Blvd, Daingerfield, TX 75638 | 2017-03-10 |
| 1376548180 | Lynn Bourdon | Family Medicine | 200 W Scurry St Ste A, Daingerfield, TX 75638-1634 | 2005-06-17 |
| 1548277809 | Roderick Lee Mitchell | Legal Medicine | 303 Webb St, Daingerfield, TX 75638-1651 | 2006-08-01 |
| 1699762443 | Med-care Pharmacy, Inc | Pharmacy | 213 W Scurry St, Daingerfield, TX 75638-1657 | 2005-10-05 |
| 1710176805 | Dickinson & Wells Pllc | Physician Assistant | 213 Scurry Street, A, Daingerfield, TX 75638-1658 | 2007-10-15 |
| 1982778452 | Med Care Pharmacy Inc | Pharmacy | 213 W Scurry St Ste C, Daingerfield, TX 75638-1661 | 2006-11-17 |
| 1013056902 | Jerel Lynn Kerby | Pharmacist | 213 W Scurry St Ste C, Daingerfield, TX 75638-1661 | 2007-02-06 |
| 1922445105 | J Jireh LLC | Skilled Nursing Facility | 507 E W M Watson Blvd, Daingerfield, TX 75638-2013 | 2013-05-29 |
| Find all providers in zip 75638 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912156100 | Trey Matthew Latiolais | Dentist | 1106 Broadnax Street, Daingerfield, TX 75638 | 2008-09-12 |
| 1194813576 | Danny Lilley | Dentist | 1106 Broadnax St, Daingerfield, TX 75638-1030 | 2006-10-10 |
| 1013454404 | Trey Latiolais Dds Pllc | Dentist | 1106 Broadnax St, Daingerfield, TX 75638-1030 | 2017-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1699375543 | Long Family Dental | Dentist | 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 | 2020-10-29 |
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1952900466 | Gwendolyn Kines-mcleod Dds,pllc | Dentist | 401 N Ann St Ste B, Terrell, TX 75160-2549 | 2020-10-26 |
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1295334803 | Jpm Dental of Spring | Dentist | 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 | 2020-10-23 |
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1710586029 | Whitestone Dental Center Pllc | Dentist | 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 | 2020-10-19 |
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
| City | DAINGERFIELD |
| Zip Code | 75638 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.