Individual
DR. BLAKE STEWART BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7731 OLD CANTON RD, MADISON, MS 39110-6114
(601) 790-0121
Mailing address
1855 LAKELAND DR APT 226, JACKSON, MS 39216-0003
(601) 421-4803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4455-24
MS
Other
Enumeration date
06/14/2024
Last updated
07/10/2024
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