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

Q: 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.

Q: What is Shane Phillips's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Phillips was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

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: August 09, 2026.

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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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.