Healthcare Provider Details

I. General information

NPI: 1669273801
Provider Name (Legal Business Name): ANTHONY WELLS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ANI WELLS DMD

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W 8TH AVE
SPOKANE WA
99204-2307
US

IV. Provider business mailing address

37 RING ST
PROVIDENCE RI
02909-1329
US

V. Phone/Fax

Practice location:
  • Phone: 509-474-7498
  • Fax:
Mailing address:
  • Phone: 724-825-5128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN03884
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: