Provider Demographics
NPI:1255502993
Name:BELL, DAVID CLINTON (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CLINTON
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 1:5 PHYSICIANS PARK
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4163
Mailing Address - Country:US
Mailing Address - Phone:502-223-2091
Mailing Address - Fax:502-875-1943
Practice Address - Street 1:5 PHYSICIANS PARK
Practice Address - Street 2:SUITE 1
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4163
Practice Address - Country:US
Practice Address - Phone:502-223-2091
Practice Address - Fax:502-875-1943
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3906122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist