Provider Demographics
NPI:1871924480
Name:BILALIS, GEORGE (DMS, MS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:BILALIS
Suffix:
Gender:M
Credentials:DMS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2684 MECHANICSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2625
Mailing Address - Country:US
Mailing Address - Phone:973-980-2377
Mailing Address - Fax:
Practice Address - Street 1:2684 MECHANICSVILLE RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2625
Practice Address - Country:US
Practice Address - Phone:973-980-2377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051620122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist