Billinger, Bruce Raymond

Billinger, Bruce Raymond is an individual health care provider with primary practice located at 2120 Rockbridge Rd , Stone Mountain GA 30087. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Billinger, Bruce Raymond can be contacted via phone (770) 413-4213.

Contact Information

Primary practice address
2120 Rockbridge Rd Stone Mountain GA 30087
Fax: (770) 413-4233
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 11173 Georgia

Profile Details

NPI number 1336258284
LBN Legal business name Billinger, Bruce Raymond
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336258284 NPPES
Georgia MEDICAID 00631221B

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