Provider Demographics
NPI:1306012976
Name:BILLINGS, DAVID (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:BILLINGS
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 1:8191 JENNIFER LN
Mailing Address - Street 2:SUITE 250B
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-3194
Mailing Address - Country:US
Mailing Address - Phone:410-286-9200
Mailing Address - Fax:410-286-9203
Practice Address - Street 1:8191 JENNIFER LN
Practice Address - Street 2:SUITE 250B
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-3194
Practice Address - Country:US
Practice Address - Phone:410-286-9200
Practice Address - Fax:410-286-9203
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD82511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice