Provider Demographics
NPI:1346654563
Name:BELL, ROBERT MILES (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MILES
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 1:6300 POWERS FERRY RD STE 600-265
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2919
Mailing Address - Country:US
Mailing Address - Phone:470-987-2724
Mailing Address - Fax:470-997-2724
Practice Address - Street 1:2900 S COBB DR SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-7859
Practice Address - Country:US
Practice Address - Phone:678-453-5665
Practice Address - Fax:678-453-5666
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9864122300000X
GADN014850122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist