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Hayden R. Phillips, DMD
Pediatric Dentist in Richmond, Kentucky
NPI 1861597718

Hayden R. Phillips is a Pediatric Dentist based in Richmond, KY and is specialized in Pediatric Dentistry. Hayden R. Phillips practices in Richmond, KY and has the professional credentials of DMD. The NPI Number for Hayden R. Phillips is 1861597718 and holds a License No. 7982 (Kentucky).

The current practice location address for Hayden R. Phillips is 1012 Ival James Blvd, Richmond, KY and can be reached out via phone at 859-626-9620 and via fax at 859-626-9622.

Location: 1012 Ival James Blvd, Richmond, KY, 40475-8174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861597718
Provider Name
Hayden R. Phillips
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1012 Ival James Blvd, Richmond, KY, 40475-8174
Phone Number
859-626-9620
Fax Number
859-626-9622
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1500 01 KY BLUE CROSS/BLUE SHIELD ID
61901088 05 KY
60003282 05 KY
61901211 05 KY
7982 01 KY DELTA DENTAL ID#
institution
Provider Business Practice Location Address Details
Address
1012 Ival James Blvd
City
Richmond
State
Kentucky
Zip
40475-8174
Phone Number
859-626-9620
Fax Number
859-626-9622
person
Provider Business Mailing Address Details
Address
1012 Ival James Blvd
City
Richmond
State
Kentucky
Zip
40475-8174
Phone Number
859-626-9620
Fax Number
859-626-9622
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7982 (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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