DR. SHANE L. PHILLIPS D.D.S.
NPI 1700913894
Dentist - General Practice in Provo, UT

Active since February 27, 2007
1355 N UNIVERSITY AVE. 330, PROVO, UT 84604(801) 377-6453 Get Directions Write a Review

NPPES record last updated: April 4, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shane L. Phillips D.d.s. NPPES

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

DR. SHANE L. PHILLIPS D.D.S. (NPI 1700913894) is an individual general practice provider in Provo, Utah, licensed in Utah (342924-9922) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1700913894
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANE L. PHILLIPSCredential: D.D.S.
Location Address1355 N UNIVERSITY AVE. 330Provo, UT 84604
Mailing Address1355 N University Ave Ste 330Provo, UT 84604-2721 · (801) 377-6453
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateApril 4, 2014
NPI 1700913894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 342924-9922
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1355 N UNIVERSITY AVE. 330, Provo, UT 84604

Accepted Insurance

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 Shane Phillips's NPI number?

The NPI number for Shane Phillips is 1700913894. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Shane Phillips located?

Shane Phillips practices at 1355 N University Ave. 330, Provo, UT 84604. The listed phone number is (801) 377-6453.

What is Shane Phillips's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Shane Phillips accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Shane Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Phillips was last updated on April 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.