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General NPI Number Information
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NPI Number | 1801450242
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Entity Type | Individual
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Provider Name | JAMAL WELLS DDS
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Gender | Male
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 4550 E BELL RD STE 106
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City | PHOENIX
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State | AZ
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Zip | 85032-9342
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Country | US
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Telephone | 602-344-9530
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Fax |
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Provider Business Mailing Address
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Address Line | 3123 W CYPRESS ST
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City | PHOENIX
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State | AZ
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Zip | 85009-2446
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Country | US
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Telephone | 928-202-0181
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 061150
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D012628
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D012628
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License Number State | AZ
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