Provider Demographics
NPI:1639186869
Name:BELL, ANITA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:L
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:PO BOX 993
Mailing Address - Street 2:
Mailing Address - City:STUARTS DRAFT
Mailing Address - State:VA
Mailing Address - Zip Code:24477-0993
Mailing Address - Country:US
Mailing Address - Phone:540-337-1324
Mailing Address - Fax:540-337-1325
Practice Address - Street 1:2835 STUARTS DRAFT HWY
Practice Address - Street 2:
Practice Address - City:STUARTS DRAFT
Practice Address - State:VA
Practice Address - Zip Code:24477-2752
Practice Address - Country:US
Practice Address - Phone:540-337-1324
Practice Address - Fax:540-337-1325
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014110901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1807513OtherTDP UNITED CONCORDIA
VA1807513OtherTDP UNITED CONCORDIA