Provider Demographics
NPI:1558457598
Name:BILLINGS, LARRY N (DDS)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:N
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 1:990 GRAND CANYON PARKWAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60194
Mailing Address - Country:US
Mailing Address - Phone:847-884-1310
Mailing Address - Fax:847-884-1311
Practice Address - Street 1:990 GRAND CANYON PARKWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60194
Practice Address - Country:US
Practice Address - Phone:847-884-1310
Practice Address - Fax:847-884-1311
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist