Provider Demographics
NPI:1205251824
Name:ALEX BELL DENTAL- DANIEL COBB DDS
Entity type:Organization
Organization Name:ALEX BELL DENTAL- DANIEL COBB DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-435-7311
Mailing Address - Street 1:900 E ALEX BELL RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-2721
Mailing Address - Country:US
Mailing Address - Phone:937-435-7311
Mailing Address - Fax:937-435-5803
Practice Address - Street 1:900 E ALEX BELL RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-2721
Practice Address - Country:US
Practice Address - Phone:937-435-7311
Practice Address - Fax:937-435-5803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1197826261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental