Provider Demographics
NPI:1649577065
Name:JEFFREY G. BELL, D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:JEFFREY G. BELL, D.D.S., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:910-592-1883
Mailing Address - Street 1:204 SAMPSON ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-3418
Mailing Address - Country:US
Mailing Address - Phone:910-592-1883
Mailing Address - Fax:910-592-9181
Practice Address - Street 1:204 SAMPSON ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-3418
Practice Address - Country:US
Practice Address - Phone:910-592-1883
Practice Address - Fax:910-592-9181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8941122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty