Provider Demographics
NPI:1831830538
Name:BELL, EAMARI MARIANNA (DDS)
Entity type:Individual
Prefix:DR
First Name:EAMARI
Middle Name:MARIANNA
Last Name:BELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 N CHARLES ST APT 606
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-4022
Mailing Address - Country:US
Mailing Address - Phone:203-952-7319
Mailing Address - Fax:
Practice Address - Street 1:265 BALTIMORE BLVD STE 4
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6990
Practice Address - Country:US
Practice Address - Phone:410-861-2194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17582122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program