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PHILLIPS THADDEUS

Debarred entity

PHILLIPS THADDEUS is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	PHILLIPS THADDEUS · Thaddeus Phillips				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States of America				[sources]
First name	Thaddeus				[sources]
ID Number	`00045133` · `DN028401L` · `DS028401L`				[sources]
Last name	Phillips				[sources]
NPI	`1659347268`				[sources]
Sector	Dentist				[sources]
Title	DDS				[sources]
Address	(OH), (OH)				[sources]
Last change	2024-11-29	Last processed	2025-10-02	First seen	2024-09-02

Sanctions
Country	Authority	Program	Start date	End date
United States of America	Department of Human Services		2012-07-19	-

Address
Full address	Country
(OH), (OH) · OH, OH	United States of America

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States of America · OMIG

Medical providers who are precluded from participation in the Medical Assistance Program

United States of America · DHS

Source data IDs: us-medpa-7ce719059f531ace1d0f1f914599c2714fb13d57 · us-medny-9d9c813092ac030025d1ad9443befdbc5e474d19

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