Provider Demographics
NPI:1679606818
Name:BELL, CARL EDWARD JR (DDS)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:EDWARD
Last Name:BELL
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2170
Mailing Address - Street 2:
Mailing Address - City:KING
Mailing Address - State:NC
Mailing Address - Zip Code:27021-2170
Mailing Address - Country:US
Mailing Address - Phone:336-983-2176
Mailing Address - Fax:336-458-2285
Practice Address - Street 1:426 KIRBY RD
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:NC
Practice Address - Zip Code:27021-9494
Practice Address - Country:US
Practice Address - Phone:336-983-2176
Practice Address - Fax:336-458-2285
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC77581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice