Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144679499 Individual Practitioner Male Practitioner

Dr. Wilson Phillips , DMD

Dentist • Prospect Park, PA

Professional Overview & Biography Verified Profile Summary

Dr. Wilson Phillips, DMD is a registered healthcare professional specializing in Dentist in Prospect Park, PA. Practice services are available at 1319 LINCOLN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1319 Lincoln Ave

Prospect Park, PA 190761216

Telephone 6105325008
Associated Practice Facility / Clinic
🏢 Rapozafamily Dentistry Facility NPI 1710142625

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Prospect Park, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Prospect Park, PA (3554 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DN002360

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pa State License Number
DN002360 (PA)

Secondary Practice Locations

191 Presidential Blvd, Suite W4

Bala Cynwyd, PA 190041207

Phone: 2679400300

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Katerina Sioutis , DMD

Dentist - General Practice

NPI 1184985640

Doctor of Dental Medicine

Dr. Anthony Rapoza , DMD

Dentist - General Practice

NPI 1336523141

Doctor of Dental Medicine

Madeline Rapoza

Dentist - General Practice

NPI 1336869924
NPI 1932558624

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location June 01, 2018

Registered at 1319 LINCOLN AVE, PROSPECT PARK, PA 190761216 (Tel: 6105325008)

NPI Profile Active December 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2016

Registered at 191 PRESIDENTIAL BLVD, SUITE W4, BALA CYNWYD, PA 190041207 (Tel: 2679400300)

📍
Updated Business Mailing Address December 07, 2016

Registered at 626 SNYDER AVE, PHILADELPHIA, PA 191482419 (Tel: 2679400300)

👤
Provider Name / Credentials Updated December 07, 2016

Recorded as WILSON PHILLIPS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2016

Dentist (License #DN002360 in PA)

🟢
Initial NPI Registration & Enumeration June 07, 2016

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: 1144679499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2016
Last Update: June 01, 2018
Sole Proprietor: No

Mailing Address

626 Snyder Ave

Philadelphia, PA 191482419

Phone: 2679400300

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.