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

Individual provider General Practice Dentistry · NPI 1720269947

Jerel Frederic Philip, DMD is a General Practice Dentistry in Santa Cruz, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

4100 Portola Dr Ste 1
Santa Cruz, CA 95062
Phone: (831) 475-7739
Fax: (831) 475-7782
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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 38159 (CA)

Record details

NPI number1720269947
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 15, 2007
Last updated in NPPESNovember 15, 2007

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