Provider Demographics
NPI:1225036759
Name:PHILLIPS, WILLIAM RALPH III (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RALPH
Last Name:PHILLIPS
Suffix:III
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6140 SHERRY LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6301
Mailing Address - Country:US
Mailing Address - Phone:214-363-2475
Mailing Address - Fax:214-528-5510
Practice Address - Street 1:6140 SHERRY LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6301
Practice Address - Country:US
Practice Address - Phone:214-363-2475
Practice Address - Fax:214-528-5510
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2025-06-17
Deactivation Date:2006-04-28
Deactivation Code:
Reactivation Date:2006-09-27
Provider Licenses
StateLicense IDTaxonomies
TXL7848204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery