MEDICARE: DR. G. PATRICK WELLS JR. D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	4019	LA

General Provider Information

NPI Number	:	1336321868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. G. PATRICK WELLS JR. D.D.S.

Provider Business Mailing Address
First Line	:	3521 NORTH ARNOULT RD.
Second Line	:	SUITE B
City	:	METAIRIE
State	:	LA
Zip	:	70002-3395
Country	:	US
Telephone Number	:	504-888-1833
Fax Number	:

Provider Business Practice Location Address
First Line	:	3521 NORTH ARNOULT RD.
Second Line	:	SUITE B
City	:	METAIRIE
State	:	LA
Zip	:	70002-3395
Country	:	US
Telephone Number	:	504-888-1833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2007
Last Update Date	:	11/27/2007

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Directions to “ DR. G. PATRICK WELLS JR. D.D.S.” Practice Location

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