NPI 1003839762
John S. Phillips, D.D.S.
Dentist, General Practice · Fond Du Lac, WI
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 3:59 am EDT
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John S. Phillips, D.D.S. is a health care provider (Dentist, General Practice) in Fond Du Lac, Wisconsin with National Provider Identifier (NPI) 1003839762. The NPI was issued on Jul 25, 2006 and the registry record was last updated on Jul 8, 2007. The registry lists a license in Wisconsin.
Registry record
- NPI
- 1003839762
- Type
- Individual (NPI-1), sole proprietor
- Primary specialty
- Dentist, General Practice 1223G0001X
- Practice location
- 535 E Division St
Fond Du Lac, WI 54935-3735 - Phone
- (920) 921-8950
- NPI issued
- Jul 25, 2006
- Registry record updated
- Jul 8, 2007
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | Wisconsin | 01830 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.