MEDICARE: DR. ANDREA JEAN 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	30019138	OH

General Provider Information

NPI Number	:	1861561722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA JEAN BELL DDS

Provider Business Mailing Address
First Line	:	5333 NORTHFIELD RD
Second Line	:	SUITE 110
City	:	BEFORD HEIGHTS
State	:	OH
Zip	:	44146-1134
Country	:	US
Telephone Number	:	213-662-7822
Fax Number	:	216-662-8745

Provider Business Practice Location Address
First Line	:	5333 NORTHFIELD RD
Second Line	:	SUITE 110
City	:	BEFORD HEIGHTS
State	:	OH
Zip	:	44146-1134
Country	:	US
Telephone Number	:	213-662-7822
Fax Number	:	216-662-8745

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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