Provider Demographics
NPI:1174185144
Name:BELL, JAMIE LYNN (DDS)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LYNN
Last Name:BELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W ATLAS AVE
Mailing Address - Street 2:
Mailing Address - City:OOLOGAH
Mailing Address - State:OK
Mailing Address - Zip Code:74053-3348
Mailing Address - Country:US
Mailing Address - Phone:918-443-2431
Mailing Address - Fax:918-443-2438
Practice Address - Street 1:106 W ATLAS AVE
Practice Address - Street 2:
Practice Address - City:OOLOGAH
Practice Address - State:OK
Practice Address - Zip Code:74053-3348
Practice Address - Country:US
Practice Address - Phone:918-443-2431
Practice Address - Fax:918-443-2438
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK71871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice