Provider Demographics
NPI:1144794439
Name:TRAVIS A BELL DDS PLLC
Entity Type:Organization
Organization Name:TRAVIS A BELL DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT TRAVIS A BELL DDS PLLC
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-266-2104
Mailing Address - Street 1:526 N ELAM AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1132
Mailing Address - Country:US
Mailing Address - Phone:336-266-2104
Mailing Address - Fax:336-274-8375
Practice Address - Street 1:526 N ELAM AVE STE 201
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1132
Practice Address - Country:US
Practice Address - Phone:336-266-2104
Practice Address - Fax:336-274-8375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-19
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental