Provider Demographics
NPI:1447481718
Name:BELL, GREGORY S (DDS)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:S
Last Name:BELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:190 GOOD DRIVE
Mailing Address - Street 2:CONESTOGA ORAL SURGERY
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603
Mailing Address - Country:US
Mailing Address - Phone:717-394-3033
Mailing Address - Fax:717-394-5378
Practice Address - Street 1:1834 OREGON PIKE
Practice Address - Street 2:CONESTOGA ORAL SURGERY
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-394-3033
Practice Address - Fax:717-394-5378
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2014-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADS0362691223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery