Provider Demographics
NPI:1710082623
Name:BELL, ALFRED PAUL SIMPSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:PAUL SIMPSON
Last Name:BELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12637 HESPERIA RD
Mailing Address - Street 2:#A
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-7774
Mailing Address - Country:US
Mailing Address - Phone:760-245-8684
Mailing Address - Fax:
Practice Address - Street 1:12637 HESPERIA RD
Practice Address - Street 2:#A
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-7774
Practice Address - Country:US
Practice Address - Phone:760-245-8684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA035841122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist