# L. BRETT WELLS DDS VI PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wells Family Dental Group- Gateway Commons
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255111365
- **Authorized official:** ALICIA POPE (DIRECTOR OF INSURANCE)
- **Authorized official phone:** (919) 266-5332

## Contact information

- **Practice address:** 911 GATEWAY COMMONS CIR STE 104, WAKE FOREST, NC 27587-5993
- **Practice address phone:** (919) 263-2294
- **Practice address fax:** (919) 263-2297
- **Mailing address:** PO BOX 739, ROLESVILLE, NC 27571-0739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2023
- **Last updated:** 10/05/2023