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NPI 1033397906

NPI 1033397906 : ROBERT A. BELL, DMD PLLC : SHEPHERDSVILLE, KY

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General NPI Number Information
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    NPI Number           |    1033397906
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT A. BELL, DMD PLLC 
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Dates
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    Enumeration Date     |    02/04/2008
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    Last Update Date     |    02/04/2008
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Provider Practice Location Address
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    Address Line         |    4230 N PRESTON HWY 
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    City                 |    SHEPHERDSVILLE
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    State                |    KY
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    Zip                  |    40165-9408
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    Country              |    US
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    Telephone            |    502-955-6516
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    Fax                  |    502-955-9004
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Provider Business Mailing Address
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    Address Line         |    208 DORCHESTER RD 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40223-2808
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    Country              |    US
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    Telephone            |    502-339-7113
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    Fax                  |    502-415-7113
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Authorized Official
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    Title or Position    |    OWNER/ DENTIST
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    Name                 |    DR. ROBERT ANTHONY BELL 
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    Credential           |    D.M.D.
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    Telephone            |    502-339-7113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    7871
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    License Number State |    KY
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