Individual provider · Type 1 NPI

Jake Kuruvilla Philip

General Practice Dentistry · Dallas, TX

NPI number 1659907871 Active

Practice location

4500 S Lancaster Rd
Dallas, TX 75216-7167

Call (214) 857-1082 Map

Mailing address

3151 Glenway Dr
Northbrook, IL 60062-7507

Other practice locations

  • 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 · (414) 288-6790

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.032813 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1659907871

Jake Kuruvilla Philip's National Provider Identifier is 1659907871, issued on Mar 19, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dallas, TX. The record was last updated on Aug 3, 2020.