Individual ProviderThomas W BellDentistDental ProvidersPractice Address200 Doctors Dr, Suite A, Jacksonville, NC 28546-6308(910) 353-5171PECOS EnrollmentBased on the most recent information from CMS, provider Thomas W Bell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1710036801Provider TypeIndividualFull NameBell, Thomas WTitleDr.CredentialD.D.S.GenderMaleSole ProprietorNoEnumeration Date1/9/2007Last Updated12/29/2010Contact InformationPractice LocationPractice Address200 Doctors Dr, Suite A, Jacksonville, NC 28546-6308Phone(910) 353-5171Fax(910) 353-8810Mailing LocationMailing Address200 Doctors Dr, Suite A, Jacksonville, NC 28546-6308Phone(910) 353-5171Fax(910) 353-8810Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense5694North CarolinaProvider IdentifiersIDDescriptionIssuerID8990604DescriptionMedicaidIssuerUnlistedNorth CarolinaID5906293DescriptionMedicaidIssuerUnlistedNorth Carolina