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General NPI Number Information
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NPI Number | 1093492019
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Entity Type | Individual
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Provider Name | JOSEPH MICHAEL WELLS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 8920 W. CONNELL CT. SUITE 310
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City | MILWAUKEE
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State | WI
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Zip | 53226
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Country | US
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Telephone | 414-266-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 680 E 56TH ST STE I
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City | BROWNSBURG
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State | IN
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Zip | 46112-7777
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 12014664A
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License Number State | IN
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