Donald Marvin Phillips, dmd
Dentist, General Practice in Cameron, SC. Individual provider (NPI-1).
NPI number1013085331
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013085331
- Entity type
- Individual (NPI-1)
- Name
- Donald Marvin Phillips
- Credential
- dmd
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2545 | SC | Yes |
Practice location
114 Boyce Lawton DrCameron, SC 29030
Phone 803-823-2100
Mailing address
Po Box 671Cameron, SC 29030-0671
Phone 803-823-2100
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