Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700913894 Individual Practitioner Male Practitioner

Dr. Shane L. Phillips , DDS

Dentist - General Practice • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Shane Phillips, DDS is a registered healthcare professional specializing in Dentist - General Practice in Provo, UT. Practice services are available at 1355 N UNIVERSITY AVE. 330 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1355 N University Ave. 330

Provo, UT 84604

Telephone 8013776453

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
61 Specialists

Practicing in Provo, UT (1388 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 UT 342924-9922

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
NPI 1437941861

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 04, 2014

NPI status registered as active in NPPES database

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Updated Practice Location April 04, 2014

Registered at 1355 N UNIVERSITY AVE. 330, PROVO, UT 84604 (Tel: 8013776453)

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Updated Business Mailing Address April 04, 2014

Registered at 1355 N UNIVERSITY AVE STE 330, PROVO, UT 846042721 (Tel: 8013776453)

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Provider Name / Credentials Updated April 04, 2014

Recorded as SHANE PHILLIPS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2014

Dentist (License #342924-9922 in UT)

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Initial NPI Registration & Enumeration February 27, 2007

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: 1700913894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2007
Last Update: April 04, 2014
Sole Proprietor: Yes

Mailing Address

1355 N University Ave Ste 330

Provo, UT 846042721

Phone: 8013776453

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.