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NPI Code Detail

MEDICARE: DR. RACHELLE DENISE WELLS D.M.D

MEDICARE:  DR. RACHELLE DENISE WELLS  D.M.D
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
1122300000XDentistDN20886FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588858286
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHELLE DENISE WELLS D.M.D
Provider Business Mailing Address
First Line : 3909 RESERVE DR APT 523
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-1277
Country : US
Telephone Number : 850-342-0170
Fax Number :
Provider Business Practice Location Address
First Line : 1255 W WASHINGTON ST
Second Line :
City : MONTICELLO
State : FL
Zip : 32344-1128
Country : US
Telephone Number : 850-342-0170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2007
Last Update Date : 06/24/2019

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Directions to “ DR. RACHELLE DENISE WELLS D.M.D” Practice Location

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