Provider Demographics
NPI:1912917469
Name:DALTON, BELLE JONES (MD)
Entity Type:Individual
Prefix:DR
First Name:BELLE
Middle Name:JONES
Last Name:DALTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 LAKE VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-4287
Mailing Address - Country:US
Mailing Address - Phone:540-382-0878
Mailing Address - Fax:
Practice Address - Street 1:2015 LAKE VISTA DR
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-4287
Practice Address - Country:US
Practice Address - Phone:540-382-0878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058660208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00W967W07Medicare ID - Type Unspecified
VAH05950Medicare UPIN