Provider Demographics
NPI:1639337736
Name:BILMAN, ELINA (DMD)
Entity type:Individual
Prefix:DR
First Name:ELINA
Middle Name:
Last Name:BILMAN
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 1:1248 FARMINGTON AVE APT A6
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2621
Mailing Address - Country:US
Mailing Address - Phone:917-330-2874
Mailing Address - Fax:
Practice Address - Street 1:1248 FARMINGTON AVE APT A6
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2621
Practice Address - Country:US
Practice Address - Phone:917-330-2874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0374121223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry