Provider Demographics
NPI:1518341130
Name:BELL, AMY RENAE (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:RENAE
Last Name:BELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 E LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1515
Mailing Address - Country:US
Mailing Address - Phone:479-721-1388
Mailing Address - Fax:
Practice Address - Street 1:2610 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4000
Practice Address - Country:US
Practice Address - Phone:614-794-7480
Practice Address - Fax:614-794-7482
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-024518122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist