Provider Demographics
NPI:1255710646
Name:BELL, TRAVIS ANDREW (DDS)
Entity type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:ANDREW
Last Name:BELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:526 N ELAM AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1132
Mailing Address - Country:US
Mailing Address - Phone:336-274-8386
Mailing Address - Fax:336-274-8375
Practice Address - Street 1:526 N ELAM AVE STE 201
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1132
Practice Address - Country:US
Practice Address - Phone:362-748-3863
Practice Address - Fax:336-274-8375
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC99881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice