Billingsley, Michael

Billingsley, Michael is an individual health care provider with primary practice located at 2420 Green Mountain Dr , Braselton GA 30517-7015. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Billingsley, Michael can be contacted via phone (719) 439-4968.

Contact Information

Primary practice address
2420 Green Mountain Dr Braselton GA 30517-7015
Phone: (719) 439-4968
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 104763 Colorado
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN013698 Georgia

Profile Details

NPI number 1730255522
LBN Legal business name Billingsley, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Oct 28th, 2010 - about 14 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 1730255522 NPPES
Colorado MEDICAID 02047637

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