Provider Demographics
NPI:1952581795
Name:SANTIYA S. BELL DMD, PA
Entity Type:Organization
Organization Name:SANTIYA S. BELL DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANTIYA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:336-852-5025
Mailing Address - Street 1:605 WALTER REED DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-4543
Mailing Address - Country:US
Mailing Address - Phone:336-852-5025
Mailing Address - Fax:336-510-3085
Practice Address - Street 1:605 WALTER REED DR
Practice Address - Street 2:SUITE B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-4543
Practice Address - Country:US
Practice Address - Phone:336-852-5025
Practice Address - Fax:336-510-3085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8298261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental