Provider Demographics
NPI:1295077428
Name:BELL, EDWIN LILLINGTON JR (DDS)
Entity type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:LILLINGTON
Last Name:BELL
Suffix:JR
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 1:101 SW CARY PKWY STE 60
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-7728
Mailing Address - Country:US
Mailing Address - Phone:919-467-7360
Mailing Address - Fax:
Practice Address - Street 1:101 SW CARY PKWY STE 60
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-7728
Practice Address - Country:US
Practice Address - Phone:919-467-7360
Practice Address - Fax:919-467-0602
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014145661223G0001X
NC98291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice