Whalio Doctors

NPI 1003839762

John S Phillips, DDS

Practitioner General Practice Dentistry Fond Du Lac, WI

Practice location

Address
535 E Division St, Fond Du Lac, WI 54935-3735
Phone
(920) 921-8950
Fax
(920) 921-0577

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 01830 (WI)

Registry record

NPI
1003839762
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jul 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.