Provider Demographics
NPI:1215420120
Name:BELLE, ERIKA L (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:L
Last Name:BELLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ERIKA
Other - Middle Name:L
Other - Last Name:SCHWANKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7348 BLONDO ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-6910
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1643 S SAN JACINTO AVE STE 100&101
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92583-5181
Practice Address - Country:US
Practice Address - Phone:909-380-7701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105414122300000X
NE74861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist