Provider Demographics
NPI:1013305937
Name:BILLINGS DENTAL CARE P.C
Entity Type:Organization
Organization Name:BILLINGS DENTAL CARE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:NESHEIWAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-686-9195
Mailing Address - Street 1:2411 ROUTE 82
Mailing Address - Street 2:P.O BOX 94
Mailing Address - City:BILLINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12510-9800
Mailing Address - Country:US
Mailing Address - Phone:845-223-3966
Mailing Address - Fax:
Practice Address - Street 1:2411 ROUTE 82
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:NY
Practice Address - Zip Code:12510-9800
Practice Address - Country:US
Practice Address - Phone:845-223-3966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052855122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty