Search › Utah › 1223G0001X
Shane Phillips, D.D.S
NPI 1700913894 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1355 N University Ave. 330
Provo, UT 84604 - Phone
- (801) 377-6453
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah