Provider Demographics
NPI:1902852932
Name:PHILIPS, ANTHONY P (DDS)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:P
Last Name:PHILIPS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 532
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-0532
Mailing Address - Country:US
Mailing Address - Phone:513-899-2153
Mailing Address - Fax:
Practice Address - Street 1:8944 COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-1155
Practice Address - Country:US
Practice Address - Phone:513-774-8800
Practice Address - Fax:513-774-5314
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH208241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice