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General NPI Number Information
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NPI Number | 1497619977
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Entity Type | Individual
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Provider Name | LAWRENCE CHARLES BELLON DDS
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Gender | Male
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 2727 HIGHWAY K
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City | BONNE TERRE
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State | MO
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Zip | 63628-3430
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Country | US
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Telephone | 573-358-5516
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Fax |
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Provider Business Mailing Address
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Address Line | 46 MEADOWBROOK
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City | BALLWIN
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State | MO
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Zip | 63011-1694
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Country | US
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Telephone | 314-409-5219
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 010416
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License Number State | MO
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