Provider Demographics
NPI:1154416915
Name:BELL, GARY LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:LEE
Last Name:BELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9730 3RD AVE NE
Mailing Address - Street 2:SUITE #204
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2023
Mailing Address - Country:US
Mailing Address - Phone:206-524-5700
Mailing Address - Fax:206-524-0765
Practice Address - Street 1:9730 3RD AVE NE
Practice Address - Street 2:SUITE #204
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2023
Practice Address - Country:US
Practice Address - Phone:206-524-5700
Practice Address - Fax:206-524-0765
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA48291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice