Provider Demographics
NPI:1730394594
Name:BELLO, MARK STEVEN (DDS)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:STEVEN
Last Name:BELLO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 COLUMBUS PIKE
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2728
Mailing Address - Country:US
Mailing Address - Phone:740-363-2080
Mailing Address - Fax:740-369-7514
Practice Address - Street 1:1816 COLUMBUS PIKE
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2728
Practice Address - Country:US
Practice Address - Phone:740-363-2080
Practice Address - Fax:740-369-7514
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300170061223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics