MEDICARE: 7TH AND BELL DENTAL GROUP LLP

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

General Provider Information

NPI Number	:	1659790897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	7TH AND BELL DENTAL GROUP LLP

Provider Business Mailing Address
First Line	:	17000 RED HILL AVE
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-5626
Country	:	US
Telephone Number	:	714-845-8890
Fax Number	:	949-474-1495

Provider Business Practice Location Address
First Line	:	267 E BELL RD STE 3
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-6337
Country	:	US
Telephone Number	:	602-993-6000
Fax Number	:	602-993-6003

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL GEBHART
Credential	:	DDS
Telephone Number	:	602-993-6000

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	04/15/2014

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