Provider Demographics
NPI:1568060887
Name:PHIPPS, TAYLOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:DANIELLE
Other - Last Name:PHIPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1901 N WEBB RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3415
Mailing Address - Country:US
Mailing Address - Phone:316-655-3214
Mailing Address - Fax:
Practice Address - Street 1:1901 N WEBB RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3415
Practice Address - Country:US
Practice Address - Phone:316-655-3214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61745122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist