Provider Demographics
NPI:1922611052
Name:BILLINGSLEY, ALLISON PATRICIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:PATRICIA
Last Name:BILLINGSLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ERIK ST
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4592
Mailing Address - Country:US
Mailing Address - Phone:603-521-4022
Mailing Address - Fax:
Practice Address - Street 1:43 BRIDGE ST STE 6
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NH
Practice Address - Zip Code:03076-3400
Practice Address - Country:US
Practice Address - Phone:603-635-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0005T122300000X
MADN1858793122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0005TOtherOFFICE OF PROFESSIONAL LICENSURE AND CERTIFICATION STATE OF NEW HAMPSHIRE
MADN1858793OtherCOMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH