Provider Demographics
NPI:1750533832
Name:BELLINGHAM, ADAM BENJAMIN (DDS)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BENJAMIN
Last Name:BELLINGHAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 BUTTERFIELD STAGE RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3181
Mailing Address - Country:US
Mailing Address - Phone:214-738-0356
Mailing Address - Fax:
Practice Address - Street 1:5949 DALLAS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7816
Practice Address - Country:US
Practice Address - Phone:469-609-7224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23431122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist