Provider Demographics
NPI:1215378385
Name:CALHOUN-WELLS, CECELIA NOEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:CECELIA
Middle Name:NOEL
Last Name:CALHOUN-WELLS
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 1:14015 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6200
Mailing Address - Country:US
Mailing Address - Phone:301-384-9795
Mailing Address - Fax:
Practice Address - Street 1:14015 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6200
Practice Address - Country:US
Practice Address - Phone:301-384-9795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111701223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health