Provider Demographics
NPI:1285711523
Name:PHILLIPPI, WILLIAM DAYE II (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DAYE
Last Name:PHILLIPPI
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:787B S WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-3806
Mailing Address - Country:US
Mailing Address - Phone:931-528-2324
Mailing Address - Fax:931-528-1283
Practice Address - Street 1:798 W OAK DR
Practice Address - Street 2:APT. F-4
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-3779
Practice Address - Country:US
Practice Address - Phone:931-261-7951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS-33981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice