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Deactivated NPI 1033207873 Deactivated / Inactive NPI Male Practitioner

Dr. James Phillips , DMD

Dentist - General Practice • Providence, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2006
NPI Deactivation Date September 03, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. James Phillips, DMD was a registered Dentist - General Practice practicing in Providence, KY. Throughout an active medical career spanning 13 years, Dr. Phillips provided care at the practice location at 125 E MAIN ST until profile deactivation on 2019-09-03.

Practice Location & Contact Primary Location

Practice Address

125 E Main St

Providence, KY 424501268

Telephone 2706677301
Fax 2706677630
Associated Practice Facility / Clinic
🏢 James D. Phillips, Dmd,psc Facility NPI 1588832828

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Providence, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Providence, KY (1699 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 KY 3888

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

1 Associated Practitioners
Dr. Paige Warren , DMD

Dentist - General Practice

NPI 1558459388

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 03, 2019

Record deactivated on September 03, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 125 E MAIN ST, PROVIDENCE, KY 424501268 (Tel: 2706677301)

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Updated Business Mailing Address July 08, 2007

Registered at 125 E MAIN ST, PROVIDENCE, KY 424501268 (Tel: 2706677301)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES PHILLIPS, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3888 in KY)

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Initial NPI Registration & Enumeration October 10, 2006

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: 1033207873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: July 08, 2007
Deactivation Date: September 03, 2019

Mailing Address

125 E Main St

Providence, KY 424501268

Phone: 2706677301

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.