Provider Demographics
NPI:1871983601
Name:BELL, NATALIE JAMYLE (RDH)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:JAMYLE
Last Name:BELL
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 N WESTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-3315
Mailing Address - Country:US
Mailing Address - Phone:573-778-3042
Mailing Address - Fax:573-778-9432
Practice Address - Street 1:1407 N WESTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-3315
Practice Address - Country:US
Practice Address - Phone:573-778-3042
Practice Address - Fax:573-778-9432
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014016064124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist