P Praxis·MD
● Active Type 1 · Individual

DR. Donald Marvin Phillips JR., DMD

Oral & Maxillofacial Surgery·Atlanta, GA· NPI 1174509319 · Enumerated 2005 · 20 years on NPI
Phillips is 1 of 13 oral & maxillofacial surgery providers in Atlanta and 1 of 48 in Georgia.
NPI age
20 years
Enumerated 2005-12-20
Primary specialty
Oral & Maxillofacial Surgery
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 48 active oral & maxillofacial surgery providers in Georgia.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 58% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
2295 Parklake Dr Ne Ste 240
Atlanta, GA 303452863
📞 7707239965fax 7707239344
Mailing address
2295 Parklake Dr Ne Ste 240
Atlanta, GA 303452863
📞 7707239965fax 7707239344

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1 Pinckney Blvd
Beaufort, SC 299026122
📞 8432285477

Specialties

  • Oral & Maxillofacial Surgery Primary
    Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
    GA license #013846 taxonomy 204E00000X
  • Dentist
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    SC license #3933 taxonomy 1223S0112X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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