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Contact Information

DONALD M PHILLIPS JR, DMD
2295 PARKLAKE DR NE STE 240
ATLANTA, GA30345-2863
 Phone: 770-723-9965
 Fax: 770-723-9344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for DONALD M PHILLIPS JR · (Male)

NPI # 1174509319
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 12/20/2005
Last updated 10/25/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 013846
  • SC License # 3933
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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