Provider Demographics
NPI:1184627705
Name:BELL, RYLE A (DDS, MS, FACD)
Entity type:Individual
Prefix:DR
First Name:RYLE
Middle Name:A
Last Name:BELL
Suffix:
Gender:M
Credentials:DDS, MS, FACD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 16TH. ST NW
Mailing Address - Street 2:AG44
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-328-3332
Mailing Address - Fax:
Practice Address - Street 1:3636 16TH. ST NW
Practice Address - Street 2:AG44
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-328-3332
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN28861223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics