1922611052 NPI number — DR. ALLISON PATRICIA BILLINGSLEY DMD

Table of content: DR. ALLISON PATRICIA BILLINGSLEY DMD (NPI 1922611052)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922611052 NPI number — DR. ALLISON PATRICIA BILLINGSLEY DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BILLINGSLEY
Provider First Name:
ALLISON
Provider Middle Name:
PATRICIA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922611052
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28 ERIK ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MERRIMACK
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03054-4592
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-521-4022
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
43 BRIDGE ST STE 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PELHAM
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03076-3400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-635-2151
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  DN1858793 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 122300000X , with the licence number: 0005T , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 122300000X , with the licence number: 04604 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04604 . This is a "OFFICE OF PROFESSIONAL LICENSURE AND CERTIFICATION STATE OF NEW HAMPSHIRE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 0005T . This is a "OFFICE OF PROFESSIONAL LICENSURE AND CERTIFICATION STATE OF NEW HAMPSHIRE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: DN1858793 . This is a "COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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