| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | PHILLIPS THADDEUS · Thaddeus H. Phillips III · Thaddeus Hilliard Phillips III · Thaddeus Phillips | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Thaddeus | [sources] | |||
| ID Number | 00045133 · DN028401L · DS028401L | [sources] | |||
| Last name | Phillips | [sources] | |||
| Middle name | H. · Hilliard | [sources] | |||
| NPI | 1659347268 | [sources] | |||
| Sector | Dentist | [sources] | |||
| Title | DDS · DMD | [sources] | |||
| Address | (OH), (OH) · (SC), (SC) · Dauphin, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-medpa-6b48f380fa2e932fe2b0cef83e4f6c4b550cb4ed · us-medpa-e5c4ba782756d4aa1846e8c5f5873d432d9a0181 · us-medpa-7ce719059f531ace1d0f1f914599c2714fb13d57 · us-medny-9d9c813092ac030025d1ad9443befdbc5e474d19For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| (SC), (SC) · SC, SC | United States | |
| United States | Department of Human Services | - | - |
| United States | New York State Office of the Medicaid Inspector General | - | - |
| United States | Department of Human Services | - | - |
| (OH), (OH) · OH, OH | United States |
| Dauphin, PA | United States |