Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699094151 Individual Practitioner Male Practitioner

Dr. Brock Philips , DMD

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Brock Philips, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 4540 SOUTHSIDE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4540 Southside Blvd
Suite 801

Jacksonville, FL 322165492

Telephone 9046422010
Fax 9046428282
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN14354

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1083929905
Jennifer Reaves , LMT

Massage Therapist

NPI 1386274330

Licensed Massage Therapist

Lynn Powell , LMHC, CTRS

Counselor - Professional

NPI 1417398835

Licensed Mental Health Counselor, CTRS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 16, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 16, 2011

Registered at 4540 SOUTHSIDE BLVD, SUITE 801, JACKSONVILLE, FL 322165492 (Tel: 9046422010)

📍
Updated Business Mailing Address November 16, 2011

Registered at 4540 SOUTHSIDE BLVD, SUITE 801, JACKSONVILLE, FL 322165492 (Tel: 9046422010)

👤
Provider Name / Credentials Updated November 16, 2011

Recorded as BROCK PHILIPS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2011

Dentist (License #DN14354 in FL)

🟢
Initial NPI Registration & Enumeration May 24, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699094151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2010
Last Update: November 16, 2011
Sole Proprietor: Yes

Mailing Address

4540 Southside Blvd, Suite 801

Jacksonville, FL 322165492

Phone: 9046422010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.