Wells Oral & Maxillofacial Surgery Association

LBN: Wells Oral & Maxillofacial Surgery Association
Wells Oral & Maxillofacial Surgery Association is an health care organization with primary practice located at 4225 Southpoint Pkwy S , Jacksonville FL 32216-0975. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Wells Oral & Maxillofacial Surgery Association can be contacted via phone (904) 296-2226, or through Wells, Marvin C 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:
Map and Directions
Authorized official contact:
Name: Wells, Marvin C Doctor of Dental Medicine (DMD)
Phone: (904) 296-2226

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8078 Florida

Profile Details

NPI number 1801140678
LBN Legal business name Wells Oral & Maxillofacial Surgery Association
DBA Doing business as
Authorized official Wells, Marvin C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2012
Last updated Nov 1st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801140678 NPPES
Florida MEDICAID 0747998-00
Florida Other 86833

Popular Providers