Provider Demographics
NPI:1538414602
Name:BILBO, EVE ERIN (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:EVE
Middle Name:ERIN
Last Name:BILBO
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:MRS
Other - First Name:EVE
Other - Middle Name:ERIN
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2034 PATTON CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5770
Mailing Address - Country:US
Mailing Address - Phone:205-979-9480
Mailing Address - Fax:205-979-9756
Practice Address - Street 1:2034 PATTON CHAPEL RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-5770
Practice Address - Country:US
Practice Address - Phone:205-979-9480
Practice Address - Fax:205-979-9756
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5955 C1122300000X
IA30364390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program