Matthew Benjamin Phillips, DMD
NPI 1417907338ActiveIndividual· Dentist, Endodontics· Fort Gordon, GA
Dentist, Endodontics (DMD) in Fort Gordon, Georgia, licensed in CO and NY, with an NPI issued in May 2006. Enrolled in Medicare as order and referring only - dentist.
Overview
| NPI | 1417907338 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Mar 10, 2023 |
| Certified by provider | Mar 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | DEN.00009022 | CO |
| Dentist | 122300000X | DEN.00009022 | CO |
| Dentist | 122300000X | 054351 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (CO) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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