Provider Demographics
NPI:1932462181
Name:BELL, MICHAEL E (DMD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:BELL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:19051 US HIGHWAY 441 STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-6722
Mailing Address - Country:US
Mailing Address - Phone:352-735-5005
Mailing Address - Fax:352-735-5009
Practice Address - Street 1:19051 US HIGHWAY 441 STE 100
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-6722
Practice Address - Country:US
Practice Address - Phone:352-735-5005
Practice Address - Fax:352-735-5009
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN204571223S0112X, 204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery