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Dr. Phillip Dana Vickers, DDS
Oral and Maxillofacial Surgery (Dentist) in Rochester, Minnesota
NPI 1720149529

Phillip Dana Vickers is a Oral and Maxillofacial Surgery (Dentist) based in Rochester, MN and is specialized in Oral and Maxillofacial Surgery. Phillip Dana Vickers practices in Rochester, MN and has the professional credentials of DDS. The NPI Number for Phillip Dana Vickers is 1720149529 and holds a License No. D10753 (Minnesota).

The current practice location address for Phillip Dana Vickers is 200 1St St Sw, Rochester, MN and can be reached out via phone at 507-284-2511.

Location: 200 1St St Sw, Rochester, MN, 55905-0001
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Provider Profile Details
NPI Number
1720149529
Provider Name
Phillip Dana Vickers
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
200 1St St Sw, Rochester, MN, 55905-0001
Phone Number
507-284-2511
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209324300 05 MN
128G2VI 01 MN BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
200 1St St Sw
City
State
Zip
55905-0001
Phone Number
507-284-2511
Fax Number
person
Provider Business Mailing Address Details
Address
200 1St St Sw
City
State
Zip
55905-0001
Phone Number
507-284-2511
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D10753 (Minnesota)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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