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NPI Code Detail

MEDICARE: DR. LAUREN ASHLEY WELLS

MEDICARE: DR. LAUREN ASHLEY WELLS
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
11223G0001XGeneral Practice Dentistry62770CA
2122300000XDentist134667AK

General Provider Information

NPI Number : 1710319298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN ASHLEY WELLS
Provider Business Mailing Address
First Line : 4745 S 3200 W
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84129-2822
Country : US
Telephone Number : 801-964-6214
Fax Number : 801-982-9232
Provider Business Practice Location Address
First Line : 7985 E 16TH AVE # 300
Second Line :
City : ANCHORAGE
State : AK
Zip : 99504-2896
Country : US
Telephone Number : 907-333-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2013
Last Update Date : 02/06/2023

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Directions to “ DR. LAUREN ASHLEY WELLS ” Practice Location

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