Dr. Michael Steven Phillips, D.M.D.
Dentist, General Practice in Charleston Afb, SC. Individual provider (NPI-1).
NPI number1104885250
StatusActive
Last updated in NPPESMar 25, 2013
Details
- NPI
- 1104885250
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Steven Phillips
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 18, 2006
- Last updated
- Mar 25, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 17477 | MA | Yes |
Practice location
204 W Hill Blvd628th Medical Group Dental Services
Charleston Afb, SC 29404-4704
Phone 843-963-6822
Mailing address
2105 Sandy Point LnMount Pleasant, SC 29466-8770
Phone 843-654-9743
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