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NPI Code Detail

MEDICARE: DR. G. PATRICK WELLS JR. D.D.S.

MEDICARE:  DR. G. PATRICK WELLS JR. D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist4019LA

General Provider Information

NPI Number : 1336321868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. G. PATRICK WELLS JR. D.D.S.
Provider Business Mailing Address
First Line : 3521 NORTH ARNOULT RD.
Second Line : SUITE B
City : METAIRIE
State : LA
Zip : 70002-3395
Country : US
Telephone Number : 504-888-1833
Fax Number :
Provider Business Practice Location Address
First Line : 3521 NORTH ARNOULT RD.
Second Line : SUITE B
City : METAIRIE
State : LA
Zip : 70002-3395
Country : US
Telephone Number : 504-888-1833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2007
Last Update Date : 11/27/2007

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Directions to “ DR. G. PATRICK WELLS JR. D.D.S.” Practice Location

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