IndividualActive
Keith Phillips, D.M.D., M.S.D.
NPI 1063638310 · Prosthodontics · Tacoma, WA
Provider details
- NPI number
- 1063638310
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.M.D., M.S.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 602396104 (WA)
Specialties & taxonomies
Dental Providers
Practice location
5619 Valley Ave E
Tacoma, WA 98424-2060
Phone: (253) 922-5519
Approximate (ZIP-level) locationGet directions
Mailing address
5619 Valley Ave E
Tacoma, WA 98424-2060
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.