Provider Demographics
NPI:1356648471
Name:BILODEAU, ELIZABETH ANN (DMD, MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:BILODEAU
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Gender:F
Credentials:DMD, MD
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Mailing Address - Street 1:G-141 SALK HL
Mailing Address - Street 2:3501 TERRACE ST
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15261-0001
Mailing Address - Country:US
Mailing Address - Phone:412-648-8636
Mailing Address - Fax:412-383-9142
Practice Address - Street 1:G-141 SALK HL
Practice Address - Street 2:3501 TERRACE ST
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15261-0001
Practice Address - Country:US
Practice Address - Phone:412-648-8636
Practice Address - Fax:412-383-9142
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2012-08-17
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Provider Licenses
StateLicense IDTaxonomies
PADS0366671223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology