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General NPI Number Information
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NPI Number | 1558410944
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Entity Type | Organization
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Legal Business Name | MICHAEL D BELLON DDS MS PC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7200 E HAMPDEN AVE #203
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City | DENVER
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State | CO
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Zip | 80224-3021
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Country | US
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Telephone | 303-692-9610
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Fax | 303-692-9680
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Provider Business Mailing Address
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Address Line | 7200 E HAMPDEN AVE #203
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City | DENVER
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State | CO
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Zip | 80224-3021
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Country | US
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Telephone | 303-692-9610
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Fax | 303-692-9680
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. MICHAEL DREW BELLON
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Credential | DDS MS
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Telephone | 303-692-9610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6623
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License Number State | CO
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