Bella Vida Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BELLA VIDA DENTAL LLC

Practice address

4625 N Oracle Rd
Tucson, AZ 85705-1639

Phone

(480) 370-3365

NPI assigned

Apr 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clara D Proffitt, DENTAL CONSULTANT

Title

Owner

Phone

(480) 370-3365

Specialties & licenses 1

Addresses

Other names 1

• Bella Vita Dental LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1316633001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77360",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857037360",
            "telephone_number": "480-370-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051639",
            "telephone_number": "480-370-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VIDA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-370-3365",
        "authorized_official_credential": "DENTAL CONSULTANT"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vita Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bella Vita Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elizabeth Bell
• Matthew L Bell, MD
• Maureen Gibson Bell, RN, NP-C
• Nathaniel Stoughton Bell, PHARM.D.
• Thomas Edward Bell, D.M.D
• Carmel Bellacose, M.D.
• Adam Mark Bellamy, M.D.
• Amber Yvonne Bellamy, M.D.
• Elahe O Bellinger, LMSW
• Belma Maruflu DDS PC

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.