Provider Demographics
NPI:1366914145
Name:BELL, DENNIS
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6536 SOUTHRIDGE GREENS BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-9157
Mailing Address - Country:US
Mailing Address - Phone:970-225-2526
Mailing Address - Fax:
Practice Address - Street 1:102 W MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2823
Practice Address - Country:US
Practice Address - Phone:970-407-0665
Practice Address - Fax:970-407-9467
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO157604156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician