Provider Demographics
NPI:1700979226
Name:BILLINGS, PATRICIA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:BILLINGS
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 1:13220 COOPERAGE COURT
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064
Mailing Address - Country:US
Mailing Address - Phone:858-485-0063
Mailing Address - Fax:858-485-0063
Practice Address - Street 1:444 SOUTH 8TH STREET
Practice Address - Street 2:SUITE C-1
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92244
Practice Address - Country:US
Practice Address - Phone:760-352-1166
Practice Address - Fax:760-339-9944
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36645122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist