Provider Demographics
NPI:1336203058
Name:DAVID A BELL, DMD, PC
Entity Type:Organization
Organization Name:DAVID A BELL, DMD, PC
Other - Org Name:WOOD AND BELL. DMD, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-765-6515
Mailing Address - Street 1:120 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-2336
Mailing Address - Country:US
Mailing Address - Phone:814-765-6515
Mailing Address - Fax:814-765-6517
Practice Address - Street 1:120 S FRONT ST
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-2336
Practice Address - Country:US
Practice Address - Phone:814-765-6515
Practice Address - Fax:814-765-6517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS258311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty