# WELLS ORAL & MAXILLOFACIAL SURGERY ASSOCIATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801140678
- **Authorized official:** DR. MARVIN C WELLS D.M.D (PRESIDENT)
- **Authorized official phone:** (904) 296-2226

## Contact information

- **Practice address:** 4225 SOUTHPOINT PKWY S, JACKSONVILLE, FL 32216-0975
- **Practice address phone:** (904) 296-2226
- **Practice address fax:** (904) 296-8887
- **Mailing address:** 4225 SOUTHPOINT PKWY S, JACKSONVILLE, FL 32216-0975
- **Mailing address phone:** (904) 296-2226
- **Mailing address fax:** (904) 296-8887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 8078 | FL | Yes |

## Other

- **Enumeration date:** 11/01/2012
- **Last updated:** 11/01/2012