MEDICARE: DR. GARY LEE BELL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4829	WA

General Provider Information

NPI Number	:	1154416915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY LEE BELL DDS

Provider Business Mailing Address
First Line	:	9730 3RD AVE NE
Second Line	:	SUITE #204
City	:	SEATTLE
State	:	WA
Zip	:	98115-2023
Country	:	US
Telephone Number	:	206-524-5700
Fax Number	:	206-524-0765

Provider Business Practice Location Address
First Line	:	9730 3RD AVE NE
Second Line	:	SUITE #204
City	:	SEATTLE
State	:	WA
Zip	:	98115-2023
Country	:	US
Telephone Number	:	206-524-5700
Fax Number	:	206-524-0765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	10/28/2008

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