MEDICARE: DR. AMY RENAE BELL D.D.S

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	122300000X	Dentist	30-024518	OH

General Provider Information

NPI Number	:	1518341130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY RENAE BELL D.D.S

Provider Business Mailing Address
First Line	:	61 E LINCOLN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-1515
Country	:	US
Telephone Number	:	479-721-1388
Fax Number	:

Provider Business Practice Location Address
First Line	:	2610 E DUBLIN GRANVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4000
Country	:	US
Telephone Number	:	614-794-7480
Fax Number	:	614-794-7482

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

Provider Enumeration Date	:	07/14/2015
Last Update Date	:	07/14/2015

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