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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANE L. PHILLIPS, D.D.S.

Active Sole Proprietor

DR. SHANE L. PHILLIPS, D.D.S. is a General Dentistry healthcare provider located in PROVO, Utah. NPI 1700913894 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PROVO, UT

Registration Details

NPI Number
1700913894
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2007 (19.466028938318 yrs)
Last Updated
Apr 4, 2014
License
342924-9922 (UT)
Sole Proprietor
Yes

Practice Information

Address
1355 N UNIVERSITY AVE. 330
PROVO, UT, 84604
Browse UT providers · Browse ZIP 84604
Phone
8013776453
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in PROVO, UT

Name Credential NPI
DR. JEFFREY A YOUNGQUIST DDS 1699746529
DR. ADRIAN G. HUANG DMD 1902866114
DR. ERIC IVAN TIDWELL DDS 1932131562
DR. ALBERT BAXTER CLARK D.D.S. 1477571677
DR. QUINN J SCHIFFMAN DDS 1871506428
DR. RANDALL CLIFFORD HOBBS DDS 1558477208
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.