Healthcare Provider Details

I. General information

NPI: 1265954432
Provider Name (Legal Business Name): DAVID BELL DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 07/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 HARRISON ST
BATESVILLE AR
72501-7220
US

IV. Provider business mailing address

PO BOX 3450
LITTLE ROCK AR
72203-3450
US

V. Phone/Fax

Practice location:
  • Phone: 870-376-4926
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number2202
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: