Individual provider · Type 1 NPI

Charles Clayton Phillips Iii, DMD

Oral and Maxillofacial Surgery (Dentist) · San Diego, CA

NPI number 1912920745 Active

Practice location

12395 El Camino Real, Ste 304
San Diego, CA 92130-3085

Fax (858) 793-3383

Mailing address

12395 El Camino Real Ste 304
San Diego, CA 92130-3085

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X30008 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1912920745

Charles Clayton Phillips Iii, DMD's National Provider Identifier is 1912920745, issued on Jul 25, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.