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NPI Code Detail

MEDICARE: JODY PHILLIPS RDH

MEDICARE: JODY PHILLIPS RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist4870TN

General Provider Information

NPI Number : 1497586515
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODY PHILLIPS RDH
Provider Business Mailing Address
First Line : 600 HILL AVE STE 101
Second Line :
City : NASHVILLE
State : TN
Zip : 37210-4755
Country : US
Telephone Number : 615-329-4790
Fax Number :
Provider Business Practice Location Address
First Line : 600 HILL AVE STE 101
Second Line :
City : NASHVILLE
State : TN
Zip : 37210-4755
Country : US
Telephone Number : 615-329-4790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2024
Last Update Date : 08/10/2024

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Directions to “ JODY PHILLIPS RDH” Practice Location

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