Provider Demographics
NPI:1639846439
Name:BELL DENTAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:BELL DENTAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHONG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:352-562-4921
Mailing Address - Street 1:404 SARGENT RD
Mailing Address - Street 2:
Mailing Address - City:BOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01719-1206
Mailing Address - Country:US
Mailing Address - Phone:352-562-4921
Mailing Address - Fax:
Practice Address - Street 1:418 MASSACHUSETTS AVE STE 2
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3723
Practice Address - Country:US
Practice Address - Phone:352-562-4921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental