Healthcare Provider Details

I. General information

NPI: 1669300802
Provider Name (Legal Business Name): DR. SIMON BELL, A DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 BARNETT VALLEY RD
SEBASTOPOL CA
95472-9564
US

IV. Provider business mailing address

8901 BARNETT VALLEY RD
SEBASTOPOL CA
95472-9564
US

V. Phone/Fax

Practice location:
  • Phone: 707-292-7986
  • Fax:
Mailing address:
  • Phone: 707-292-7986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SIMON BELL
Title or Position: CEO
Credential: DMD
Phone: 707-292-7986