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General NPI Number Information
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NPI Number | 1891594032
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Entity Type | Organization
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Legal Business Name | L. BRETT WELLS DDS PA
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1512 VILLAGE MARKET PL
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City | MORRISVILLE
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State | NC
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Zip | 27560-7511
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Country | US
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Telephone | 919-266-5332
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 FORESTVILLE RD # 100-06
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City | RALEIGH
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State | NC
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Zip | 27616-8774
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Country | US
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Telephone | 919-266-5332
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Fax | 919-229-8805
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Authorized Official
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Title or Position | RCM
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Name | LAURA ILLINGWORTH
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Credential |
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Telephone | 919-266-5332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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