Healthcare Provider Details

I. General information

NPI: 1447004866
Provider Name (Legal Business Name): ANTHONY MARIO BELLO DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 MDG UNIT 6810
APO AE
09604-6810
US

IV. Provider business mailing address

53 TEMPE WICK RD
MENDHAM NJ
07945-3223
US

V. Phone/Fax

Practice location:
  • Phone: 314-632-5060
  • Fax:
Mailing address:
  • Phone: 973-830-0302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14067837-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: