# DERBY MODERN DENTISTRY, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Derby Modern Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114485794
- **Authorized official:** NICHOLAS BELL DDS (OWNER)
- **Authorized official phone:** (316) 416-6057

## Contact information

- **Practice address:** 2006 N ROCK RD STE 300, DERBY, KS 67037-3752
- **Practice address phone:** (316) 416-6057
- **Practice address fax:** (316) 221-7948
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8500
- **Mailing address fax:** (303) 952-0892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2019
- **Last updated:** 03/04/2019