Individual provider · NPI-1

Chandler J Bell, DMD

Dentist, General Practice · Idaho Falls, ID

NPI number1851130199
StatusActive
Last updated in NPPESMay 24, 2024

Details

NPI
1851130199
Entity type
Individual (NPI-1)
Name
Chandler J Bell
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
May 24, 2024
Certification date
May 16, 2024
Last updated
May 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeD-5620IDYes

Practice location

1655 Pancheri Dr
Idaho Falls, ID 83402-3169

Phone 208-522-1911

Mailing address

4341 Monroe Ave
Idaho Falls, ID 83401-4469

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