Kelly Jo Phillips, DDS

General Practice Dentistry · Worthington, MN

Individual Active NPI

NPI number 1922167410

Practice location

1316 McMillan St
Worthington, MN 56187-1646
Phone
(507) 376-5525
Fax
(507) 376-3796

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NPI record

NPI
1922167410
Entity type
Individual (Type 1)
Enumeration date
December 8, 2006
Last updated
October 15, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D12193 MN

Mailing address

1316 McMillan St.
PO Box 727
Worthington, MN 56187
Phone
(507) 376-5525

About Dr. Phillips

Kelly Jo Phillips, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1316 McMillan St, Worthington, MN 56187-1646. The NPI number 1922167410 was assigned on December 8, 2006 and the record was last updated on October 15, 2012.

Dr. Phillips lists a license in the registry: #D12193 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Jo Phillips, DDS?

The NPI number is 1922167410.

What is the phone number of Dr. Phillips?

The phone number listed for the practice location is (507) 376-5525.

Where is Dr. Phillips located?

1316 McMillan St, Worthington, MN 56187-1646.

What is the taxonomy code for Dr. Phillips?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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