Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922168616 Individual Practitioner Male Practitioner

Dr. Paul David Phillips , DDS

Dentist - General Practice • Nespelem, WA

Professional Overview & Biography Verified Profile Summary

Dr. Paul Phillips, DDS is a registered healthcare professional specializing in Dentist - General Practice in Nespelem, WA. Practice services are available at 29 NESPELEM SANPOIL STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

29 Nespelem Sanpoil Street

Nespelem, WA 991550071

Telephone 5096342900
Fax 5096342990
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Nespelem, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Nespelem, WA (3345 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 WA DE00005474

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5400189 (WA)
Medicaid State Provider ID
5400197 (WA)

Practice Associates & Co-Workers

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

28 Associated Practitioners
Patricia Maxwell , RT

Radiologic Technologist

NPI 1053495838
Candi Ives , RN

Registered Nurse

NPI 1053583641

Registered Nurse

Rinku Shewa

Registered Nurse - Emergency

NPI 1154838571
Jerrod Peterson , RN

Registered Nurse

NPI 1164864856

Registered Nurse

Sandra Nomee , ASCP

Specialist/Technologist, Pathology - Medical Technologist

NPI 1174607931
NPI 1184645640

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2011

Registered at 29 NESPELEM SANPOIL STREET, NESPELEM, WA 991550071 (Tel: 5096342900)

📍
Updated Business Mailing Address October 25, 2011

Registered at PO BOX 71, 29 NESPELEM SANPOIL STREET, NESPELEM, WA 991550071 (Tel: 5096342900)

👤
Provider Name / Credentials Updated October 25, 2011

Recorded as PAUL PHILLIPS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2011

Dentist (License #DE00005474 in WA)

🟢
Initial NPI Registration & Enumeration December 11, 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: 1922168616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2006
Last Update: October 25, 2011
Sole Proprietor: No

Mailing Address

Po Box 71, 29 Nespelem Sanpoil Street

Nespelem, WA 991550071

Phone: 5096342900

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.