DR. STEPHANIE JOY PHILLIS DMD
NPI 1861912602
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 22, 2017

1 KNEELAND ST FL 11, BOSTON, MA 02111(617) 636-6828 Get Directions Write a Review

NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Stephanie Joy Phillis Dmd NPPES

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

DR. STEPHANIE JOY PHILLIS DMD (NPI 1861912602) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1861912602

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. STEPHANIE JOY PHILLISCredential: DMD

Location Address1 KNEELAND ST FL 11Boston, MA 02111-1527

Mailing Address1 Kneeland St Fl 11Boston, MA 02111-1527 · (617) 636-6887

Phone(617) 636-6828

Sole ProprietorNo

Enumeration DateJune 22, 2017

✔ NPI 1861912602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 KNEELAND ST FL 11, Boston, MA 02111

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