Provider Demographics
NPI:1578549291
Name:BELL-MCDUFFIE, PATRICIA LYNNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LYNNE
Last Name:BELL-MCDUFFIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6400 BALTIMORE NATIONAL PIKE
Mailing Address - Street 2:SUITE 170-245
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3930
Mailing Address - Country:US
Mailing Address - Phone:410-206-8362
Mailing Address - Fax:410-962-8726
Practice Address - Street 1:1500 E MADISON ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1418
Practice Address - Country:US
Practice Address - Phone:410-732-6721
Practice Address - Fax:410-563-5051
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD97841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice