Provider Demographics
NPI:1902929748
Name:BILLINGS, JEFFERY D (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:D
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:PO BOX 959
Mailing Address - Street 2:
Mailing Address - City:COOLEEMEE
Mailing Address - State:NC
Mailing Address - Zip Code:27014-0959
Mailing Address - Country:US
Mailing Address - Phone:336-284-2595
Mailing Address - Fax:336-284-2596
Practice Address - Street 1:145 MARGINAL ST.
Practice Address - Street 2:COOLEEMEE SHOPPING CENTER
Practice Address - City:COOLEEMEE
Practice Address - State:NC
Practice Address - Zip Code:27014-0959
Practice Address - Country:US
Practice Address - Phone:336-284-2595
Practice Address - Fax:336-284-2596
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC51241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice