John L. Phillips, Dds,Pa | Fayetteville, NC • PECOS Search

John L. Phillips, Dds,Pa

Clinic/Center

Ambulatory Health Care Facilities

201 S Mcpherson Church Rd Ste 102, Fayetteville, NC 28303-4913

(910) 438-9400 (910) 822-8221

PECOS Enrollment

Based on the most recent information from CMS, provider John L. Phillips, Dds,Pa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1932371697
Provider Type
Organization
Full Name
John L. Phillips, Dds,Pa

Subpart
No
Enumeration Date
4/1/2008
Last Updated
4/1/2008

Contact Information

Practice Location

201 S Mcpherson Church Rd Ste 102, Fayetteville, NC 28303-4913

Unlisted Fax

Mailing Location

405 Shawcroft Rd, Fayetteville, NC 28311-2946

Unlisted Fax

Authorized Official

Phillips, John Lloyd (President)

Provider Taxonomies

Code	Description	License
Code 261QD0000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License 6772 North Carolina