NPI age
11 years
Enumerated 2014-06-25
● Active
Type 1 · Individual
Judy A Philip, DDS
Philip is 1 of 5 dentist providers in Lavon and 1 of 15661 in Texas.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, OK
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15661 active dentist providers in Texas.
NPI age
11 years
↓ 3 yr below median (14 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Practice location
833 State Highway 78
Lavon, TX 751661303
Mailing address
212 N Main St
Fairfax, OK 746373023
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
-
DentistA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (OK) | 360631YRHZ | MEDICARE PTAN |
| 05 (OK) | 200542030A |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.