Provider Demographics
NPI:1992431605
Name:CIBOR & BILLINGSLEY DENTAL PLLC
Entity type:Organization
Organization Name:CIBOR & BILLINGSLEY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:CIBOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:616-502-1168
Mailing Address - Street 1:1121 OTTAWA BEACH RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-2528
Mailing Address - Country:US
Mailing Address - Phone:616-288-4777
Mailing Address - Fax:
Practice Address - Street 1:1121 OTTAWA BEACH RD STE 100
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-2528
Practice Address - Country:US
Practice Address - Phone:616-288-4777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty