Provider Demographics
NPI:1851529515
Name:JEANY LYN YU BELL D.D.S., INC.
Entity Type:Organization
Organization Name:JEANY LYN YU BELL D.D.S., INC.
Other - Org Name:COLEMAN FAMILY DENTAL, A PRACTICE OF JEANY LYN YU BELL D.D.S., INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANY LYN
Authorized Official - Middle Name:YU
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-844-9578
Mailing Address - Street 1:1341 COLEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4301
Mailing Address - Country:US
Mailing Address - Phone:408-844-9578
Mailing Address - Fax:408-844-9581
Practice Address - Street 1:1341 COLEMAN AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4301
Practice Address - Country:US
Practice Address - Phone:408-844-9578
Practice Address - Fax:408-844-9581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty