Bell Dental Maryland Heights
Clinic/Center, Dental in Bridgeton, MO. Organization (NPI-2).
NPI number1013781434
StatusActive
Last updated in NPPESNov 7, 2023
Details
- NPI
- 1013781434
- Entity type
- Organization (NPI-2)
- Legal business name
- Bell Dental Maryland Heights
- Organization subpart
- No
- Enumeration date
- Nov 7, 2023
- Certification date
- Nov 7, 2023
- Last updated
- Nov 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
3394 McKelvey Rd Ste 110Bridgeton, MO 63044-2531
Phone 314-739-5600
Mailing address
3394 McKelvey Rd Ste 110Bridgeton, MO 63044-2531
Phone 314-739-5600
Other practice locations
225 N Jackson St
Belleville, IL 62220-1308
Belleville, IL 62220-1308
Phone 618-233-6405
Authorized official
Mikal Ismail Bell
Owner
3147395600
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