MEDICARE: MARK STEVEN BELLO DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0700X	Prosthodontics	30017006	OH

General Provider Information

NPI Number	:	1730394594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK STEVEN BELLO DDS

Provider Business Mailing Address
First Line	:	1816 COLUMBUS PIKE
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-2728
Country	:	US
Telephone Number	:	740-363-2080
Fax Number	:	740-369-7514

Provider Business Practice Location Address
First Line	:	1816 COLUMBUS PIKE
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-2728
Country	:	US
Telephone Number	:	740-363-2080
Fax Number	:	740-369-7514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	07/08/2007

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