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General NPI Number Information
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NPI Number | 1255685061
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Entity Type | Organization
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Legal Business Name | DALLEN PHILLIPS, DDS, INC
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1134 N CHINOWTH ST
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City | VISALIA
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State | CA
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Zip | 93291-7896
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Country | US
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Telephone | 559-732-3977
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Fax | 559-732-6108
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Provider Business Mailing Address
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Address Line | 1134 N CHINOWTH ST
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City | VISALIA
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State | CA
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Zip | 93291-7896
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Country | US
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Telephone | 559-732-3977
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Fax | 559-732-6108
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Authorized Official
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Title or Position | EXECUTIVE OFFICER
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Name | DALLEN PHILLIPS
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Credential | DDS
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Telephone | 559-732-3977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28844
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License Number State | CA
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