Provider Demographics
NPI:1760591275
Name:BELL, JOHN ALTON JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALTON
Last Name:BELL
Suffix:JR
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 1:4625 OLD DOMINION DR
Mailing Address - Street 2:202
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-3420
Mailing Address - Country:US
Mailing Address - Phone:703-527-1724
Mailing Address - Fax:
Practice Address - Street 1:4625 OLD DOMINION DR
Practice Address - Street 2:202
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-3420
Practice Address - Country:US
Practice Address - Phone:703-527-1724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005609122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist