MEDICARE: KYLE BELL

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	13731	NC
2	1223G0001X	General Practice Dentistry	2901602648	MI

General Provider Information

NPI Number	:	1942045612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE BELL

Provider Business Mailing Address
First Line	:	405 S MAIN ST APT 802
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-2785
Country	:	US
Telephone Number	:	616-558-6011
Fax Number	:

Provider Business Practice Location Address
First Line	:	10501 ALLEN RD STE 105
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-1157
Country	:	US
Telephone Number	:	313-284-8354
Fax Number	:

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

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	03/11/2026

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Directions to “ KYLE BELL ” Practice Location

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