Provider Demographics
NPI:1255004297
Name:L. BRETT WELLS PLLC
Entity Type:Organization
Organization Name:L. BRETT WELLS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-229-8803
Mailing Address - Street 1:10251 LITTLE BRIER CREEK LN STE 101
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-4267
Mailing Address - Country:US
Mailing Address - Phone:919-266-5332
Mailing Address - Fax:
Practice Address - Street 1:10251 LITTLE BRIER CREEK LN STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-4267
Practice Address - Country:US
Practice Address - Phone:919-266-5332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty