Provider Demographics
NPI:1023422052
Name:BILLS, ROBERT CONNER III (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CONNER
Last Name:BILLS
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 AUDUBON LANE
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-7029
Mailing Address - Country:US
Mailing Address - Phone:601-270-1116
Mailing Address - Fax:
Practice Address - Street 1:730 COULTER DR
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:MS
Practice Address - Zip Code:38652-2807
Practice Address - Country:US
Practice Address - Phone:662-534-4397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3737-14122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist