Provider Demographics
NPI:1114158490
Name:BILLS, JANELLE F (DMD)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:F
Last Name:BILLS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 WINCHESTER RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-4153
Mailing Address - Country:US
Mailing Address - Phone:859-226-0679
Mailing Address - Fax:
Practice Address - Street 1:1301 WINCHESTER RD
Practice Address - Street 2:SUITE 225
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-4153
Practice Address - Country:US
Practice Address - Phone:859-226-0679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY88041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice