National Provider Identifier
Ross Spencer Phippen Jr., DMD
Ross Spencer Phippen Jr., DMD is listed in the NPPES registry with a primary specialty of Dentist in Penn Yan, NY and a listed phone number of (315) 536-2024.
Profile Overview
- NPI
- 1104154111
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- December 02, 2009
- Last Updated
- March 07, 2023
Practice Location
- 160 Main St
- Penn Yan, NY 14527-1204
Phone: (315) 536-2024
Mailing Address
- 14 Maiden Ln
- PO Box 423
- Penn Yan, NY 14527-1208
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1104154111
- Entity Type
- Individual
- Last Name
- Phippen
- First Name
- Ross
- Middle Name
- Spencer
- Name Suffix
- Jr.
- Credential
- DMD
- Mailing Street Address
- 14 Maiden Ln
- Mailing Address Line 2
- PO Box 423
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1208
- Mailing Country
- US
- Mailing Phone
- (315) 531-9102
- Mailing Fax
- (315) 531-9103
- Practice Street Address
- 160 Main St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1204
- Practice Country
- US
- Practice Phone
- (315) 536-2024
- Practice Fax
- (315) 536-4005
- Enumeration Date
- December 02, 2009
- Last Updated
- March 07, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)
- Other Identifiers
- 058689 (NY, License), 04559624 (NY)