Provider Demographics
NPI:1295485704
Name:BELL-HUDLEY, TWILA (DDS)
Entity type:Individual
Prefix:DR
First Name:TWILA
Middle Name:
Last Name:BELL-HUDLEY
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 1:7223 LIGHTHOUSE WAY
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-7053
Mailing Address - Country:US
Mailing Address - Phone:804-869-8718
Mailing Address - Fax:
Practice Address - Street 1:128 KISTLER FARM RD
Practice Address - Street 2:SUITE 5
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115
Practice Address - Country:US
Practice Address - Phone:980-528-4180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-27
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14007122300000X
OH30.0272991223D0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223D0001XDental ProvidersDentistDental Public Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program