Individual provider · Type 1 NPI

Shane L. Phillips, DDS

General Practice Dentistry · Provo, UT

NPI number 1700913894 Active

Practice location

1355 N University Ave. 330
Provo, UT 84604

Call (801) 377-6453 Map

Mailing address

1355 N University Ave Ste 330
Provo, UT 84604-2721

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X342924-9922 (UT)

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 1700913894

Shane L. Phillips, DDS's National Provider Identifier is 1700913894, issued on Feb 27, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Provo, UT. The record was last updated on Apr 4, 2014.