Phillips Dental Sleep Solutions LLC
Dentist in Wyckoff, NJ. Organization (NPI-2).
NPI number1629629316
StatusActive
Last updated in NPPESSep 24, 2019
Details
- NPI
- 1629629316
- Entity type
- Organization (NPI-2)
- Legal business name
- Phillips Dental Sleep Solutions LLC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2019
- Last updated
- Sep 24, 2019
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 |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
235 Madison AveWyckoff, NJ 07481-1948
Phone 201-891-5154
Mailing address
235 Madison AveWyckoff, NJ 07481-1948
Authorized official
Glenn Phillips
Authorized Official
2018915154
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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