Jake Kuruvilla Philip is a Dallas, Texas based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jake Kuruvilla Philip is 019.032813 for General Practice Dentistry in Illinois. His current practice location is 4500 S Lancaster Rd, Dallas. Patients can reach him at 214-857-1082.
Jake Kuruvilla Philip is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jake Kuruvilla Philip speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jake Kuruvilla Philip
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
4500 S Lancaster Rd, Dallas, Texas, 75216-7167
Phone:
214-857-1082
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1659907871
NPI Enumeration Date:
19 Mar, 2020
NPI Last Update On:
03 Aug, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jake Kuruvilla Philip are as mentioned below.
License Number
Specialization
State
Status
019.032813
General Practice Dentistry
Illinois
Primary
Student in an Organized Health Care Education/Training Program
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jake Kuruvilla Philip such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
019.032813
Other
Illinois
DENTAL LICENSURE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3151 Glenway Dr, Northbrook, Illinois
Zip:
60062-7507
Phone Number:
847-624-9237
Patients can reach Jake Kuruvilla Philip at 4500 S Lancaster Rd, Dallas, Texas or can call to book an appointment on 214-857-1082. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.