Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brock Philips, DMD

Individual provider General Practice Dentistry · NPI 1699094151

Dr. Brock Philips, DMD is a General Practice Dentistry in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4540 Southside Blvd Ste 801
Jacksonville, FL 32216-5492
Phone: (904) 642-2010
Fax: (904) 642-8282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN14354 (FL)

Record details

NPI number1699094151
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 24, 2010
Last updated in NPPESNovember 16, 2011
Mailing address4540 Southside Blvd, Suite 801, Jacksonville, FL 32216-5492

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