Healthcare Provider Details

I. General information

NPI: 1114852720
Provider Name (Legal Business Name): KASIDEE CATHRYN WELLS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 MEADOW BRANCH AVE
WINCHESTER VA
22601-6255
US

IV. Provider business mailing address

18560 HARMONY CHURCH RD
HAMILTON VA
20158-3520
US

V. Phone/Fax

Practice location:
  • Phone: 540-698-3384
  • Fax:
Mailing address:
  • Phone: 316-648-0133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number4868
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401420111
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: