Healthcare Provider Details

I. General information

NPI: 1972686541
Provider Name (Legal Business Name): JOHN WILLIAM BELL D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2931 ESSARY DR
KNOXVILLE TN
37918-2404
US

IV. Provider business mailing address

7617 MARTIN MILL PIKE
KNOXVILLE TN
37920-7537
US

V. Phone/Fax

Practice location:
  • Phone: 865-687-4450
  • Fax:
Mailing address:
  • Phone: 865-577-1127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDS0000005864
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: