Healthcare Provider Details

I. General information

NPI: 1164355483
Provider Name (Legal Business Name): J WELLS DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16600 BIRKDALE COMMONS PKWY STE B
HUNTERSVILLE NC
28078-6181
US

IV. Provider business mailing address

16600 BIRKDALE COMMONS PKWY STE B
HUNTERSVILLE NC
28078-6181
US

V. Phone/Fax

Practice location:
  • Phone: 704-987-9888
  • Fax: 704-987-9003
Mailing address:
  • Phone: 704-987-9888
  • Fax: 704-987-9003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: JOHN D WELLS
Title or Position: OWNER
Credential: DDS
Phone: 704-987-9888