Provider Demographics
NPI:1558337311
Name:PHILLIPS, ERIN FUSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:FUSON
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8433 HARCOURT RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2190
Mailing Address - Country:US
Mailing Address - Phone:317-872-7272
Mailing Address - Fax:317-872-0774
Practice Address - Street 1:8433 HARCOURT RD
Practice Address - Street 2:SUITE 307
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2190
Practice Address - Country:US
Practice Address - Phone:317-872-7272
Practice Address - Fax:317-872-0774
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1210493A1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry