Provider Demographics
NPI:1619180759
Name:GERALDINE ROSS BILLS DDS, P.A.
Entity Type:Organization
Organization Name:GERALDINE ROSS BILLS DDS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:BILLS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-467-8227
Mailing Address - Street 1:875 WALNUT ST
Mailing Address - Street 2:STE. 200
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4215
Mailing Address - Country:US
Mailing Address - Phone:919-467-8227
Mailing Address - Fax:
Practice Address - Street 1:875 WALNUT ST
Practice Address - Street 2:STE. 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4215
Practice Address - Country:US
Practice Address - Phone:919-467-8227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5125261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental