Provider Demographics
NPI:1356887186
Name:BELL, KATHERINE MARLOW (DMD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:MARLOW
Last Name:BELL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3218 LANCASTER LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2635
Mailing Address - Country:US
Mailing Address - Phone:334-467-5980
Mailing Address - Fax:
Practice Address - Street 1:100 REGENT PARK CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-6534
Practice Address - Country:US
Practice Address - Phone:864-234-3424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6327122300000X
MND14095122300000X
TN112751223P0221X
SC100411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist