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DR. CAROL LYNN PHILLIPS D.D.S.
NPI 1114127701
Dentist in San Luis Obispo, CA

Active since July 20, 2007PECOS Enrolled
3046 S HIGUERA ST, SUITE C, SAN LUIS OBISPO, CA 93401(805) 541-1004(805) 541-2523 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carol Lynn Phillips D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROL LYNN PHILLIPS D.D.S. (NPI 1114127701) is an individual dentist in San Luis Obispo, California, licensed in California (D-25359) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114127701
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. CAROL LYNN PHILLIPSCredential: D.D.S.
Location Address3046 S HIGUERA ST, SUITE CSan Luis Obispo, CA 93401-6622
Mailing Address3046 S Higuera St, Suite CSan Luis Obispo, CA 93401-6622 · (805) 541-1004 · Fax (805) 541-2523
Phone(805) 541-1004
Fax(805) 541-2523
Sole ProprietorYes
Enumeration DateJuly 20, 2007
✔ NPI 1114127701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · D-25359
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3046 S HIGUERA ST, San Luis Obispo, CA 93401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carol Lynn Phillips D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Phillips's NPI number?

The NPI number for Carol Phillips is 1114127701. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Carol Phillips located?

Carol Phillips practices at 3046 S Higuera St Suite C, San Luis Obispo, CA 93401. The listed phone number is (805) 541-1004.

What is Carol Phillips's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Carol Phillips enrolled in Medicare?

Yes. Carol Phillips is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carol Phillips was last updated on July 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.