# NICOLE WELLS DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Lake Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366312811
- **Authorized official:** JENNY GARCIA-ROCHA (PAYER ENROLLMENT MANAGER)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 298 N NC 16 BUSINESS HWY STE E, DENVER, NC 28037-8480
- **Practice address phone:** (704) 483-1870
- **Practice address fax:** (704) 483-1221
- **Mailing address:** 298 N NC 16 BUSINESS HWY STE E, DENVER, NC 28037-8480
- **Mailing address phone:** (704) 483-1870
- **Mailing address fax:** (704) 483-1221

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2025
- **Last updated:** 11/10/2025