Provider Demographics
NPI:1124180914
Name:BELL, THOMAS EDWARED (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EDWARED
Last Name:BELL
Suffix:
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 1:1802 E PRINCE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-1965
Mailing Address - Country:US
Mailing Address - Phone:520-323-3186
Mailing Address - Fax:520-323-5644
Practice Address - Street 1:1802 E PRINCE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-1965
Practice Address - Country:US
Practice Address - Phone:520-323-3186
Practice Address - Fax:520-323-5644
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ91501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice