Larry Gordon Phillips, DMD - Louisville, KY

Larry Gordon Phillips, DMD

Pediatric Dentist in Louisville, Kentucky

NPI 1366458960

Larry Gordon Phillips is a Pediatric Dentist based in Louisville, KY and is specialized in Pediatric Dentistry. Larry Gordon Phillips practices in Louisville, KY and has the professional credentials of DMD. The NPI Number for Larry Gordon Phillips is 1366458960 and holds a License No. 4510 (Kentucky).

The current practice location address for Larry Gordon Phillips is 4514 Outer Loop, Louisville, KY and can be reached out via phone at 502-969-9264 and via fax at 502-969-9535.

Location: 4514 Outer Loop, Louisville, KY, 40219-3857

NPI Number

1366458960

Provider Name

Larry Gordon Phillips

Credential

DMD

Provider Entity Type

Individual

Gender

Male

Address

4514 Outer Loop, Louisville, KY, 40219-3857

Phone Number

502-969-9264

Fax Number

502-969-9535

Provider Enumeration Date

08/01/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
60045101	05	KY

Address

4514 Outer Loop

City

Louisville

State

Kentucky

Zip

40219-3857

Phone Number

502-969-9264

Fax Number

502-969-9535

Address

4514 Outer Loop

City

Louisville

State

Kentucky

Zip

40219-3857

Phone Number

502-969-9264

Fax Number

502-969-9535

Type

Dental Providers

Classification

Dentist

Speciality

Pediatric Dentistry

Taxonomy

1223P0221X

License No.

4510 (Kentucky)

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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