Individual provider · Type 1 NPI
Amy Phillips, DMD
Pediatric Dentistry · Roselle Park, NJ
NPI number
1366797961
Active
Practice location
14 E Westfield Ave
Roselle Park, NJ 07204-2283
Mailing address
416 Tillou Rd
South Orange, NJ 07079-1315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 22DI02516800 (NJ) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Roselle Park
About NPI 1366797961
Amy Phillips, DMD's National Provider Identifier is 1366797961, issued on Jul 19, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Roselle Park, NJ. The record was last updated on Feb 16, 2016.