MEDICARE: DR JEFF S BILFIELD DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	17729	OH

General Provider Information

NPI Number	:	1336312255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR JEFF S BILFIELD DDS

Provider Business Mailing Address
First Line	:	5311 NORTHFIELD RD
Second Line	:	SUITE #209
City	:	BEDFORD HTS
State	:	OH
Zip	:	44146-1135
Country	:	US
Telephone Number	:	216-662-8090
Fax Number	:	216-662-8090

Provider Business Practice Location Address
First Line	:	5311 NORTHFIELD RD
Second Line	:	SUITE #209
City	:	BEDFORD HTS
State	:	OH
Zip	:	44146-1135
Country	:	US
Telephone Number	:	216-662-8090
Fax Number	:	216-662-8090

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. JEFFREY STEVEN BILFILED
Credential	:	DDS
Telephone Number	:	216-662-8090

Provider Enumeration Date	:	04/11/2008
Last Update Date	:	06/23/2008

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