Wavel Lou Wells in Lawton - Pediatric Dentistry
Wavel Lou Wells - NPI 1376642041
Wavel Lou Wells is a Pediatric Dentistry in Lawton, Oklahoma. Wavel Lou Wells practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Wavel Lou Wells is 1376642041. The last update date is 2016-05-16.
Wavel Lou Wells's current location address is 4417 W Gore Blvd, Lawton, Oklahoma. You can contact this provider via phone number 5802488418 and fax number 5802484118. The mailing address for Wavel Lou Wells is 4417 W Gore Blvd, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wavel Lou Wells |
|---|---|
| Address | 4417 W Gore Blvd, Lawton, Oklahoma |
| Phone Number | 5802488418 |
| Fax Number | 5802484118 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1376642041 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2016-05-16 |
Provider Mailing Address Detail
| Address | 4417 W Gore Blvd |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 735055978 |
| Phone Number | 5802488418 |
| Fax Number | 5802484118 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3494 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100194430A | OK | -- |
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What is the Wavel Lou Wells's 1376642041?
The Wavel Lou Wells's NPI (National Provider Identifier) Number is 1376642041. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Wavel Lou Wells by the Centers for Medicare & Medicaid Services (CMS)?
The Wavel Lou Wells has been assigned the NPI (National Provider Identifier) 1376642041. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Wavel Lou Wells located?
The Wavel Lou Wells is located at 4417 W Gore Blvd, Lawton, OK 735055978.
When was the Wavel Lou Wells's 1376642041 issued?
The Wavel Lou Wells's 1376642041 was issued on 2006-09-21.
When was the information pertaining to Wavel Lou Wells most recently updated or revised?
The details related to Wavel Lou Wells, including its address, specialty, and other relevant information, were last updated or revised on 2016-05-16.
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