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NPI Code Detail

MEDICARE: PHILLIPS, COOPER AND ASSOCIATES

MEDICARE: PHILLIPS, COOPER AND ASSOCIATES
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
1122300000XDentist3717DC
21223G0001XGeneral Practice Dentistry5041DC

General Provider Information

NPI Number : 1548462369
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHILLIPS, COOPER AND ASSOCIATES
Provider Business Mailing Address
First Line : 1625 K ST NW
Second Line : SUITE #1, LOWER LEVEL
City : WASHINGTON
State : DC
Zip : 20006-1604
Country : US
Telephone Number : 202-463-2090
Fax Number : 202-463-7868
Provider Business Practice Location Address
First Line : 1625 K ST NW
Second Line : SUITE #1, LOWER LEVEL
City : WASHINGTON
State : DC
Zip : 20006-1604
Country : US
Telephone Number : 202-463-2090
Fax Number : 202-463-7868
Authorized Official
Title or Position : DENTIST
Name : DR. RUSSELL W PHILLIPS
Credential : DMD
Telephone Number : 202-463-2090
Provider Enumeration Date : 06/04/2007
Last Update Date : 09/11/2025

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Directions to “PHILLIPS, COOPER AND ASSOCIATES ” Practice Location

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