Provider Demographics
NPI:1760589626
Name:BELLARD, MARK FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:FRANCIS
Last Name:BELLARD
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:3560 DELAWARE ST
Mailing Address - Street 2:STE 901
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-3000
Mailing Address - Country:US
Mailing Address - Phone:409-899-4884
Mailing Address - Fax:409-898-0152
Practice Address - Street 1:3560 DELAWARE ST
Practice Address - Street 2:STE 901
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-3000
Practice Address - Country:US
Practice Address - Phone:409-899-4884
Practice Address - Fax:409-898-0152
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX126361223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics