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

Dr. Shane L. Phillips, DDS

Individual provider General Practice Dentistry · NPI 1700913894

Dr. Shane L. Phillips, DDS is a General Practice Dentistry in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1355 N University Ave 330
Provo, UT 84604
Phone: (801) 377-6453
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 342924-9922 (UT)

Record details

NPI number1700913894
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 27, 2007
Last updated in NPPESApril 4, 2014
Mailing address1355 N University Ave Ste 330, Provo, UT 84604-2721

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