Provider Demographics
NPI:1952442345
Name:BELLA, ROMEO R (DMD)
Entity Type:Individual
Prefix:
First Name:ROMEO
Middle Name:R
Last Name:BELLA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4075 MONROEVILLE BLVD
Mailing Address - Street 2:BUILDING #2 SUITE 200
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146
Mailing Address - Country:US
Mailing Address - Phone:412-856-4877
Mailing Address - Fax:412-856-2886
Practice Address - Street 1:4075 MONROEVILLE BLVD
Practice Address - Street 2:BUILDING #2 SUITE 200
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-856-4877
Practice Address - Fax:412-856-2886
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028346L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1357689OtherUNITED CONCORDIA