1184912586 NPI number — WILLIAM E. BELL DDS, PLLC

Table of content: (NPI 1184912586)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184912586 NPI number — WILLIAM E. BELL DDS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAM E. BELL DDS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184912586
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4565 NASHVILLE HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHAPEL HILL
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37034-2107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
931-364-4557
Provider Business Mailing Address Fax Number:
931-364-3170

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4565 NASHVILLE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-364-4557
Provider Business Practice Location Address Fax Number:
931-364-3170
Provider Enumeration Date:
07/19/2011

Additional Information

Authorized Official

Authorized Official Last Name:
BELL
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DENTIST/ OWNER
Authorized Official Telephone Number:
931-364-4557

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  8790 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1558548800 . This is a "NPI" identifier . This identifiers is of the category "OTHER".




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