Provider Demographics
NPI:1548367691
Name:IFFLAND, PHILIP H (DDS)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:H
Last Name:IFFLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8238 EDMUND COURT CIR NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-7888
Mailing Address - Country:US
Mailing Address - Phone:330-834-1489
Mailing Address - Fax:330-834-1490
Practice Address - Street 1:4912 HILLS AND DALES RD NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-1406
Practice Address - Country:US
Practice Address - Phone:330-478-0019
Practice Address - Fax:330-478-1310
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0170971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice