1. Home
  2. Directory
  3. Wisconsin
  4. Eau Claire
  5. Dentist
  6. NPI Profile

DR. PHILLIP R DOUGLAS DDS
NPI 1982858247
Dentist in Eau Claire, WI

Active since November 12, 2008
4850 KEYSTONE XING, EAU CLAIRE, WI 54701(715) 855-1020 Get Directions Write a Review

NPPES record last updated: April 15, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Phillip R Douglas Dds NPPES

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

DR. PHILLIP R DOUGLAS DDS (NPI 1982858247) is an individual dentist in Eau Claire, Wisconsin, licensed in Indiana (12011180A) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1982858247
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PHILLIP R DOUGLASCredential: DDS
Location Address4850 KEYSTONE XINGEau Claire, WI 54701-5076
Mailing Address4850 Keystone XingEau Claire, WI 54701-5076 · (715) 855-1020
Phone(715) 855-1020
Sole ProprietorYes
Enumeration DateNovember 12, 2008
Last NPPES UpdateApril 15, 2009
✔ NPI 1982858247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in IN · 12011180A✔ Licensed in WI · 6330
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.
4850 KEYSTONE XING, Eau Claire, WI 54701
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AFFORDABLE DENTURES - EAU CLAIRE, S.C.
Dentist (General Practice)
4850 KEYSTONE XING
EAU CLAIRE, WI 54701
Eau Claire County (715) 855-1020

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 Phillip Douglas's NPI number?

The NPI number for Phillip Douglas is 1982858247. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Phillip Douglas located?

Phillip Douglas practices at 4850 Keystone Xing, Eau Claire, WI 54701. The listed phone number is (715) 855-1020.

What is Phillip Douglas's specialty?

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

When was this NPI record last updated?

The NPPES record for Phillip Douglas was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.