Healthcare Provider Details

I. General information

NPI: 1831252865
Provider Name (Legal Business Name): WALTER CRAIG BELL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 W 5TH ST SUITE 6
RENO NV
89503-4407
US

IV. Provider business mailing address

580 W 5TH ST SUITE 6
RENO NV
89503-4407
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-5057
  • Fax: 775-329-9355
Mailing address:
  • Phone: 775-786-5057
  • Fax: 775-329-9355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number479
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: