Dr. Jeffrey C Phillips , DMD
Dentist - Pediatric Dentistry • Salem, OR
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. Jeffrey Phillips has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jeffrey Phillips, DMD was a registered Dentist - Pediatric Dentistry practicing in Salem, OR. Throughout an active medical career spanning 13 years, Dr. Phillips provided care at the practice location at 1109 LIBERTY CIRCLE S until profile deactivation on 2019-07-09.
Practice Location & Contact Primary Location
1109 Liberty Circle S
Salem, OR 97306
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - Pediatric Dentistry in Salem, OR
Practicing in Salem, OR (180 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223P0221X
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 09, 2019
NPI status registered as active in NPPES database
Registered at 1109 LIBERTY CIRCLE S, SALEM, OR 97306 (Tel: 5033638466)
Registered at 1109 LIBERTY CIRCLE S, SALEM, OR 97306 (Tel: 5033638466)
Recorded as JEFFREY PHILLIPS, DMD
Dentist (License #D6697 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1109 Liberty Circle S
Salem, OR 97306
Phone: 5033638466
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