Provider Demographics
NPI:1427288141
Name:BILLINGS, MICHAEL DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
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 1:8191 JENNIFER LN
Mailing Address - Street 2:SUITE 250
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-3194
Mailing Address - Country:US
Mailing Address - Phone:410-286-9200
Mailing Address - Fax:
Practice Address - Street 1:8191 JENNIFER LN
Practice Address - Street 2:SUITE 250
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-3194
Practice Address - Country:US
Practice Address - Phone:410-286-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14595122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist