MEDICARE: DR. PHILLIP BELL D.M.D

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	22DI02588200	NJ

General Provider Information

NPI Number	:	1922404136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILLIP BELL D.M.D

Provider Business Mailing Address
First Line	:	3034 RTE 35
Second Line	:
City	:	HAZLET
State	:	NJ
Zip	:	07730-1505
Country	:	US
Telephone Number	:	732-705-7565
Fax Number	:	732-264-8009

Provider Business Practice Location Address
First Line	:	3034 RTE 35
Second Line	:
City	:	HAZLET
State	:	NJ
Zip	:	07730-1505
Country	:	US
Telephone Number	:	732-705-7565
Fax Number	:	732-264-8009

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

Provider Enumeration Date	:	11/16/2014
Last Update Date	:	11/16/2014

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