IndividualActive
Brenda Phillips
NPI 1760864110 · General Practice Dentistry · Wpafb, OH
Provider details
- NPI number
- 1760864110
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 30.019980 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
88 Mdg/Sghj
4881 Sugar Maple Dr.
Wpafb, OH 45423
Phone: (937) 257-8761
Approximate (ZIP-level) locationGet directions
Mailing address
88 Mdg/Sghj
Wpafb, OH 45433
Registry dates
- Enumerated
- 2015-06-22
- Last updated
- 2022-10-21
- Certified
- 2022-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.