Provider Demographics
NPI:1073023925
Name:GORDON M. BELL, DDS PC
Entity Type:Organization
Organization Name:GORDON M. BELL, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:717-757-4878
Mailing Address - Street 1:450 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HALLAM
Mailing Address - State:PA
Mailing Address - Zip Code:17406-1024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:450 W MARKET ST
Practice Address - Street 2:
Practice Address - City:HALLAM
Practice Address - State:PA
Practice Address - Zip Code:17406-1024
Practice Address - Country:US
Practice Address - Phone:717-757-4878
Practice Address - Fax:717-840-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026963L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental