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:
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Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063416055 NPPES
Florida Other 86833 BLUE CROSS BLUE SHIELD

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