Bruce A. Bell, DDS
Individual provider Active NPI General Practice Dentistry · Jefferson City, TN
NPI 1376611269 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376611269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2751 (TN)
- Practice address
- 683 E Broadway Blvd
Jefferson City, TN 37760-4906 - Phone
- (865) 475-8331
- Fax
- (865) 475-4631
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151013001368 | TN | Order and Referring Only - Oral Surgery |
4183932783 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2751 | TN | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2751 | TN | Yes |
Addresses
Primary practice location
683 E Broadway Blvd
Jefferson City, TN 37760-4906
Mailing address
683 E Broadway Blvd
Jefferson City, TN 37760-4906
Phone (865) 475-8331
Other providers in Jefferson City, TN
- Richard Baird
- Brent A Baker
- Baptist Primary & Senior Healthcare Clinic Jefferson City
- Paris Bath
- David M Beauchamp
- Tammy Bello
- Denise Berry
- Katherine Besola
- Nicholas Frank Bianco
- Blair E. Cohen DDS, PLLC
All providers in Jefferson City, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.