Provider Demographics
NPI:1972663276
Name:DR MARY C BELL AND ASSOCIATES, PC
Entity Type:Organization
Organization Name:DR MARY C BELL AND ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:334-303-3522
Mailing Address - Street 1:302 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:TUSKEGEE
Mailing Address - State:AL
Mailing Address - Zip Code:36083-1714
Mailing Address - Country:US
Mailing Address - Phone:334-727-6247
Mailing Address - Fax:334-725-1600
Practice Address - Street 1:302 N ELM ST
Practice Address - Street 2:
Practice Address - City:TUSKEGEE
Practice Address - State:AL
Practice Address - Zip Code:36083-1714
Practice Address - Country:US
Practice Address - Phone:334-727-6247
Practice Address - Fax:334-725-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL38381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty