Whalio Doctors

NPI 1174509319

Donald Marvin Phillips, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Atlanta, GA

Practice location

Address
2295 Parklake Dr NE STE 240, Atlanta, GA 30345-2863
Phone
(770) 723-9965
Fax
(770) 723-9344

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 013846 (GA)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 3933 (SC)

Registry record

NPI
1174509319
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Dec 2005
Record last updated
25 Oct 2023

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.