Provider Demographics
NPI:1336312255
Name:DR JEFF S BILFIELD DDS
Entity Type:Organization
Organization Name:DR JEFF S BILFIELD DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:BILFILED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-662-8090
Mailing Address - Street 1:5311 NORTHFIELD RD
Mailing Address - Street 2:SUITE #209
Mailing Address - City:BEDFORD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1135
Mailing Address - Country:US
Mailing Address - Phone:216-662-8090
Mailing Address - Fax:216-662-8090
Practice Address - Street 1:5311 NORTHFIELD RD
Practice Address - Street 2:SUITE #209
Practice Address - City:BEDFORD HTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1135
Practice Address - Country:US
Practice Address - Phone:216-662-8090
Practice Address - Fax:216-662-8090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH177291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty