Healthcare Provider Details

I. General information

NPI: 1730252057
Provider Name (Legal Business Name): LINDA BELL R.D.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 LITTLETON RD
PARSIPPANY NJ
07054-2801
US

IV. Provider business mailing address

457 E SHORE TRL
SPARTA NJ
07871-1247
US

V. Phone/Fax

Practice location:
  • Phone: 973-334-3811
  • Fax: 973-334-0155
Mailing address:
  • Phone: 973-729-6628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number22H100452800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: