Provider Demographics
NPI:1437152428
Name:BABINEC, JILL K (DDS)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:K
Last Name:BABINEC
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:44451-8706
Mailing Address - Country:US
Mailing Address - Phone:330-792-5560
Mailing Address - Fax:330-538-3305
Practice Address - Street 1:15 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:NORTH JACKSON
Practice Address - State:OH
Practice Address - Zip Code:44451
Practice Address - Country:US
Practice Address - Phone:330-538-3304
Practice Address - Fax:330-538-3305
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice