Wells, Marvin C
Wells, Marvin C is an sole proprietor health care provider with primary practice located at 4225 Southpoint Pkwy S , Jacksonville FL 32216-0975. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wells, Marvin C can be contacted via phone (904) 296-2226.Contact Information
Primary practice address
4225 Southpoint Pkwy S
Jacksonville FL 32216-0975
Phone: (904) 296-2226
Fax: (904) 296-8887
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 8078 | Florida |
Profile Details
NPI number | 1063416055 |
---|---|
LBN Legal business name | Wells, Marvin C |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 8th, 2005 |
Last updated | Nov 1st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063416055 | NPPES |
Florida | Other | 86833 | BLUE CROSS BLUE SHIELD |
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