Provider Demographics
NPI:1083617088
Name:BILLER, HAROLD (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
Last Name:BILLER
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 1:8031 189TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1034
Mailing Address - Country:US
Mailing Address - Phone:718-464-3647
Mailing Address - Fax:718-464-3695
Practice Address - Street 1:8031 189TH ST
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-1034
Practice Address - Country:US
Practice Address - Phone:718-464-3647
Practice Address - Fax:718-464-3695
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY351161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice