Provider Demographics
NPI:1639927965
Name:WELLS DENTAL ENTERPRISES
Entity type:Organization
Organization Name:WELLS DENTAL ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-766-1732
Mailing Address - Street 1:3117 COLLEGE PARK DR STE 230
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4192
Mailing Address - Country:US
Mailing Address - Phone:832-766-1732
Mailing Address - Fax:
Practice Address - Street 1:3117 COLLEGE PARK DR STE 230
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4192
Practice Address - Country:US
Practice Address - Phone:832-766-1732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental